Individual provider Active NPI

Ronald Michael Hayes, DMD

  • General Practice Dentistry
  • Wallingford, PA
National Provider Identifier
1477610418
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028517L Issued in PA
Practice address
1 Chester Rd
Wallingford, PA 19086-6601
Phone
(610) 874-5700
NPI assigned
Jan 2, 2007
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028517L PA Primary

Addresses

Primary practice location

1 Chester Rd
Wallingford, PA 19086-6601

Mailing address

1 Chester Rd
Wallingford, PA 19086-6601
Phone (610) 874-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204000129 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466775135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028517LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wallingford Smilemakers LLC PastSince Oct 17, 2000 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1477610418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHESTER RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866601",
            "telephone_number": "610-874-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHESTER RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866601",
            "telephone_number": "610-874-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "RONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028517L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

Verify at the official NPI Registry.