Clinton Yardley Hyatt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25554 Issued in TX

Practice address

8711 Bedford Euless Rd
Hurst, TX 76053-3851

Phone

(817) 589-0496

NPI assigned

Jun 24, 2010

Last updated

Jul 20, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Clinton Hyatt, DDS, PC

  dba Hyatt Family Dental

  • General Practice Dentistry
  • Hurst, TX
  • NPI 1407134539
  Authorized official Same address or phone

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1578874525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533851",
            "telephone_number": "801-836-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533851",
            "telephone_number": "817-589-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "CLINTON",
        "middle_name": "YARDLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hurst Total Care PA
• Karen Hurtado, MS CCC-SLP
• Diana A Huston, MD
• Aniko Hutchison
• Hyatt Family Dental, PLLC
• Hys Regen PLLC
• Impel Management Services, LLC (Specialized Diagnostic Imaging)
• In Home Health LLC (Heartland Home Health Care)
• In Home Health LLC (Heartland Hospice Services)
• P Raju Indukuri, M.D.

• General Practice Dentistry in Hurst, TX
• Providers in Hurst, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.