Active NPI
Suzanne Watson Hayes, DDS
- Public Health Dentistry
- Spencer, TN
National Provider Identifier
1619968211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DS0000007272
- Practice address
- 907 Old McMinnville St
Spencer, TN 38585-3200 - Phone
- (931) 946-2438
- Fax
- (931) 946-2643
- NPI assigned
- Nov 2, 2005
- Last updated
- Feb 1, 2021
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DS0000007272 | TN | Primary |
Addresses
Primary practice location
907 Old McMinnville St
Spencer, TN 38585-3200
Mailing address
1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 520-4466
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 |
|---|---|---|---|
| DS0000007272 | TN | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past | Accepting new patients | |
| State of Tennessee | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Robertson County Health Department
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
-
dba Van Buren County Health Department
- Federally Qualified Health Center (FQHC)
- Spencer, TN
- NPI 1942352554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1619968211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ENGLAND DR",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385010924",
"telephone_number": "931-520-4466",
"fax_number": "931-520-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 OLD MCMINNVILLE ST",
"city": "SPENCER",
"state": "TN",
"postal_code": "385853200",
"telephone_number": "931-946-2438",
"fax_number": "931-946-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "SUZANNE",
"middle_name": "WATSON",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TN",
"license": "DS0000007272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.