Individual provider Active NPI

Haley Donovan Kessler, DDS

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1629790555
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108073 Issued in CA
Practice address
26032 Marguerite Pkwy Ste a-1
Mission Viejo, CA 92692-5281
Phone
(949) 582-8400
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108073 CA Primary

Addresses

Primary practice location

26032 Marguerite Pkwy Ste a-1
Mission Viejo, CA 92692-5281

Mailing address

26032 Marguerite Pkwy Ste a-1
Mission Viejo, CA 92692-5281
Phone (949) 582-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230120001579 CA Order and Referring Only - DentistPractitioner - Dentist 1850762394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108073CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haley D Kessler DDS Inc Current Accepting new patients
Ballard Dental Corporation PastSince Sep 20, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1629790555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26032 MARGUERITE PKWY STE A-1",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925281",
            "telephone_number": "949-582-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26032 MARGUERITE PKWY STE A-1",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925281",
            "telephone_number": "949-582-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "HALEY",
        "middle_name": "DONOVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.