Taj M. Haynes DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8832 Issued in NC

Legal business name

TAJ M. HAYNES DMD, PA

Practice address

8505 Davis Lake Pkwy
Suite Ab-3
Charlotte, NC 28269-3415

Phone

(704) 979-3436

Fax

(866) 899-1286

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Taj Michael Haynes, DMDNPI 1639307846

Title

Doctor

Phone

(704) 904-8423

Specialties & licenses 1

Addresses

Other names 1

• Modern Family Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taj Michael Haynes, D.M.D

  • General Practice Dentistry
  • Concord, NC
  • NPI 1639307846
  NPD (past) Authorized official

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1477950145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 PIT STOP CT NW",
            "address_2": "SUITE 140",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278249",
            "telephone_number": "704-904-8423",
            "fax_number": "866-899-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 DAVIS LAKE PKWY",
            "address_2": "SUITE AB-3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693415",
            "telephone_number": "704-979-3436",
            "fax_number": "866-899-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJ M. HAYNES DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "TAJ",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-904-8423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tailored Psychiatric Wellness Center
• Danielle C Tain
• Eva Lillian Taishoff, LCSW
• David Tait, MD
• Mary Rebecca Tait, MD
• Abigail Takacs, PHARMD
• Rebecca Lynn Takahashi, MD
• Take a Stance Homecare LLC
• Take Action Counseling & Consulting PLLC
• Lovina; Takon, FNP-BC

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.