Angela Renae Haynes, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH3447 Issued in TN

Practice address

875 Union Ave Dunn Dental BLDG C 517
Memphis, TN 38163

Phone

(901) 448-1848

NPI assigned

Sep 1, 2018

Last updated

Sep 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Dr. Tracy Morris

  • General Practice Dentistry
  • Ripley, TN
  • NPI 1417014648
  NPD (past)

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1639651052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 FAIRWAY DRIVE",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "38019",
            "telephone_number": "901-326-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE DUNN DENTAL BLDG C 517",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38163",
            "telephone_number": "901-448-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Tucker Ave",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "TN",
            "postal_code": "38063",
            "country_code": "US",
            "telephone_number": "731-635-0166",
            "fax_number": "731-635-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ANGELA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH3447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Hayes, CRNA
• Radwan Faysal Haykal, MD
• Kenya Haymer
• Queene Haymer
• Alyce Waller Haynes
• Bradley B Haynes I, PSYD
• Dariona Haynes
• Derek Haynes
• William Kenneth Haynes III
• Draco Rodregas Hayse, PHARM D

• Dental Hygienist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.