Christopher M Hasty, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO12727 Issued in GA

Practice address

209 24TH St E
Tifton, GA 31794-3170

Phone

(229) 382-0467

Fax

(229) 382-8714

NPI assigned

Nov 6, 2006

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Tift Regional Dental Group, PC

  • General Practice Dentistry
  • Tifton, GA
  • NPI 1851460075
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1689743882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "address_2": "209 E 24TH STREET",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317931295",
            "telephone_number": "229-382-0467",
            "fax_number": "229-382-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 24TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943170",
            "telephone_number": "229-382-0467",
            "fax_number": "229-382-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO12727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "658232512",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9184129",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101601",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "910232",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1530248",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlyle Harper, CRNA
• June Harper, CRNA
• Shauna M Harris, MPT
• Jessica Lynn Hart, PA C
• Deborah Harvey, NP
• Melanie Hasty, RPH
• Robert J Hawes, MD
• Rebecca Hawkins
• Emily Roxanne Hawsey, NP
• Callie Haynes, FNP-BC

• General Practice Dentistry in Tifton, GA
• Providers in Tifton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.