Organization Active NPI

Haney Dental PLLC

  • Dentist
  • Richardson, TX
National Provider Identifier
1578801171
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11812 Issued in TX
Legal business name
HANEY DENTAL PLLC
Practice address
3017 E Renner Rd
Suite 120
Richardson, TX 75082-3575
Phone
(972) 644-9595
Fax
(972) 644-9597
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. George Brooks Haney, DDSNPI 1124245725
Title
Owner
Phone
(972) 644-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11812 TX Primary

Addresses

Primary practice location

3017 E Renner Rd
Suite 120
Richardson, TX 75082-3575

Mailing address

3017 E Renner Rd
Suite 120
Richardson, TX 75082-3574
Phone (972) 644-9595

Other names 1

  • G. Brooks Haney DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

3017 E Renner Rd
Richardson, TX 75082
Phone (817) 449-0022

Practitioners & affiliated clinicians

Practitioners 1

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1578801171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 E RENNER RD",
            "address_2": "SUITE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823574",
            "telephone_number": "972-644-9595",
            "fax_number": "972-644-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 E RENNER RD",
            "address_2": "SUITE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823575",
            "telephone_number": "972-644-9595",
            "fax_number": "972-644-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANEY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-644-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G. Brooks Haney DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.