Derek Havas, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61502 Issued in CA

Practice address

3400 Ave of the Arts
E408
Costa Mesa, CA 92626-1927

Phone

(323) 333-6008

NPI assigned

Jul 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 4, 2019 through Nov 4, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: dhavas299464@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1578818134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 AVE OF THE ARTS",
            "address_2": "E408",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261927",
            "telephone_number": "323-333-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 AVE OF THE ARTS",
            "address_2": "E408",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261927",
            "telephone_number": "323-333-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVAS",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fallon Hastings
• Marcus Hathaidharm
• Molly A Hathaway
• Tanya Haughawout, CMT
• Kristin Hauser, L.AC
• Gage Skyler Hawthorne
• Jacqueline Ann Hayes, MFT
• Jessica Hayes
• Healing Integrations
• Health at Last Costa Mesa, Inc

• Dentist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.