Nicole Haydt, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

107346 Issued in CA

Practice address

39872 Los Alamos Rd Ste A1
Murrieta, CA 92562-5871

Phone

(951) 200-3339

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Nicole Haydt DDS, Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orange, CA
  • NPI 1043166077
  NPD Authorized official
• G-Dental Care & Laboratory LLC

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1265040901
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1659985232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 W LINDEN DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928655000",
            "telephone_number": "805-390-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39872 LOS ALAMOS RD STE A1",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625871",
            "telephone_number": "951-200-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDT",
        "first_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204298",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "107346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Aly Hashem, B.D.S
• Russell George Hatt, M.D.
• Amari Hatton
• Tasha Hawkins, ADMINISTRATOR
• Analese Hawksley, MA
• Ana Esparza Hayes, M.S.
• Ian Clark Haymond, PT, DPT
• Cynthia Haynes, LMFT
• Tammy Lynn Hayton, M.D.
• Hazel Yap DMD Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.