Active NPI
Leo a Haydt IV DMD III PLLC
- Dentist
- Zebulon, NC
National Provider Identifier
1487126900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911 | Other | NC | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Zebulon, NC
- NPI 1306464235
-
- Dentist
- Charleston, SC
- NPI 1528793940
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.