Organization Active NPI

Leo a Haydt IV DMD III PLLC

  • Dentist
  • Zebulon, NC
National Provider Identifier
1487126900
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LEO A HAYDT IV DMD III PLLC
Practice address
208 N Arendell Ave
Zebulon, NC 27597-2604
Phone
(919) 760-6710
NPI assigned
Dec 21, 2018
Last updated
Dec 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Authorized official

Name
April A Price
Title
Business Manager
Phone
(919) 747-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

208 N Arendell Ave
Zebulon, NC 27597-2604

Mailing address

2720 Lake Wheeler Rd Ste 125
Raleigh, NC 27603-6440
Phone (919) 747-7888

Other identifiers 1

IdentifierTypeStateIssuer
8911OtherNCDENTAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1487126900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 LAKE WHEELER RD STE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276036440",
            "telephone_number": "919-747-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972604",
            "telephone_number": "919-760-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO A HAYDT IV DMD III PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-747-7888"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "8911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.