Individual provider Active NPI

Elyse Hayes, D.D.S.

  • Dentist
  • Asheboro, NC
National Provider Identifier
1679956908
Registry record updated Sep 24, 2018
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10015 Issued in NC
Practice address
2222 S Fayetteville St Ste B
Asheboro, NC 27205-7368
Phone
(336) 318-6220
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 10015 NC
Dentist 122300000X 10015 NC Primary

Addresses

Primary practice location

2222 S Fayetteville St Ste B
Asheboro, NC 27205-7368

Mailing address

200 Capistrane Dr
Cary, NC 27519-5967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160330001758 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082911482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1679956908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAPISTRANE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S FAYETTEVILLE ST STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272057368",
            "telephone_number": "336-318-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "10015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.