Elliot Haybarger, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8587 Issued in SC

Practice address

233 E Blackstock Rd Ste D
Spartanburg, SC 29301-2652

Phone

(864) 576-3678

Fax

(864) 576-3181

NPI assigned

Jun 22, 2012

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1538422662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD STE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "724-971-2825",
            "fax_number": "864-576-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD STE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-576-3678",
            "fax_number": "864-576-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYBARGER",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039125",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "8587",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "SC",
            "license": "8587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine R Hawkins, MD
• Schenell Irby Hawkins, LBSW
• Vicki Hawkins
• Melissa Lynn Hawver, PA
• James R Hay, MD
• Ladonna Jo Hayden, M.A.
• Heidi Hayes, LPC
• Linda Hayes, FNP--BC
• Lisa D Hayes, FNP-C
• Lettie Jane Haynes, FNP

• Endodontics in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.