Individual provider Active NPI

Jill Marie Hayes, D.D.S.

  • General Practice Dentistry
  • Getzville, NY
National Provider Identifier
1619962339
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052491 Issued in NY
Practice address
2430 N Forest Rd
Getzville, NY 14068-1535
Phone
(716) 636-8686
NPI assigned
Sep 19, 2005
Last updated
Nov 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052491 NY Primary

Addresses

Primary practice location

2430 N Forest Rd
Getzville, NY 14068-1535

Mailing address

2430 N Forest Rd
Getzville, NY 14068-1535
Phone (716) 636-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002526 NY Order and Referring Only - DentistPractitioner - Dentist 8729383781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052491NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1619962339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681535",
            "telephone_number": "716-636-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681535",
            "telephone_number": "716-636-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Getzville, NY

Sources for this page

Verify at the official NPI Registry.