Active NPI
Hazel P. Haynes, DMD
- General Practice Dentistry
- Columbus, GA
National Provider Identifier
1518986942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN008444
- Practice address
- 4519 Woodruff Rd Ste 10
Columbus, GA 31904-6091 - Phone
- (706) 660-8001
- Fax
- (706) 660-8002
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11586 | TX | |
| General Practice Dentistry | 1223G0001X | DN008444 | GA | Primary |
Addresses
Primary practice location
4519 Woodruff Rd Ste 10
Columbus, GA 31904-6091
Mailing address
2410 Stanley Rd
Dentac Suite 200J
Fort Sam Houston, TX 78234-7529
Phone (210) 295-2743
Other practice location 1
2410 Stanley Rd
DENTAC Suite 200J
Fort Sam Houston, TX 78234-7529
Phone (210) 295-2743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11586 | TX | MD | Chiropractor |
| DN008444 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candler Road Dental, PC | General Practice | Past | 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.
-
dba Franklin Dental & Braces
- General Practice Dentistry
- Columbus, GA
- NPI 1841387446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1518986942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 STANLEY RD",
"address_2": "DENTAC SUITE 200J",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782347529",
"telephone_number": "210-295-2743",
"fax_number": "210-295-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 WOODRUFF RD STE 10",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046091",
"telephone_number": "706-660-8001",
"fax_number": "706-660-8002"
}
],
"practiceLocations": [
{
"address_1": "2410 Stanley Rd",
"address_2": "DENTAC Suite 200J",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782347529",
"country_code": "US",
"telephone_number": "210-295-2743",
"fax_number": "210-295-2602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "HAZEL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "11586",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN008444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- Jakeria D Hayes
- Jennifer Mullins Hayes, PHARMD
- Patricia Hayes
- Savannah Hayes
- William Taylor Hayes II, ATC
- Mia Haynes
- Casey Haynie
- HCA Health Services of Georgia, Inc. (Hughston Orthopedic Hospital)
- HCA Health Services of Georgia, Inc. (Hughston Orthopedic Hospital)
- HCA Health Services of Georgia, Inc. (Hughston Orthopedic Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.