Jess Haymore, DDS,PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

AZ5698 Issued in AZ

Legal business name

JESS HAYMORE, DDS,PC

Practice address

1830 E Innovation Park Dr
40-49
Oro Valley, AZ 85755-1963

Phone

(520) 297-2514

NPI assigned

Jan 8, 2015

Organization subpart

Yes

Parent organization

INNOVATION DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Jess Haymore

Title

Owner

Phone

(520) 297-2514

Specialties & licenses 1

Addresses

Part of

Jess Haymore Ddspc

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1669860904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-297-2514",
            "fax_number": "520-297-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E INNOVATION PARK DR",
            "address_2": "40-49",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-297-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESS HAYMORE, DDS,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATION DENTAL",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "HAYMORE",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-297-2514",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "AZ5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.