Active NPI
Kelsey Hayes, D.D.S.
- Dentist
- Springfield, MO
National Provider Identifier
1588194369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2017017505
- Practice address
- 4350 S National Ave Ste C112
Springfield, MO 65810-2658 - Phone
- (417) 885-7040
- NPI assigned
- Jun 14, 2017
- Last updated
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2017017505 | MO | Primary |
Addresses
Primary practice location
4350 S National Ave Ste C112
Springfield, MO 65810-2658
Mailing address
PO Box 1359
Ava, MO 65608-1359
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 |
|---|---|---|---|
| 2017017505 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1588194369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "AVA",
"state": "MO",
"postal_code": "656081359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 S NATIONAL AVE STE C112",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102658",
"telephone_number": "417-885-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KELSEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2017017505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.