David S Haynes DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DT1916 Issued in HI

Legal business name

DAVID S HAYNES DMD INC

Practice address

850 Kamehameha Hwy
Suite 155
Pearl City, HI 96782-2657

Phone

(808) 454-2565

Fax

(808) 454-2569

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Scott Haynes, DMD

Title

President Owner

Phone

(808) 454-2565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487727962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 155",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822657",
            "telephone_number": "808-454-2565",
            "fax_number": "808-454-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 155",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822657",
            "telephone_number": "808-454-2565",
            "fax_number": "808-454-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S HAYNES DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "808-454-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52682402",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pearl City, HI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.