Active NPI
Peter Andrew Hayes, DMD
- Dentist
- Las Cruces, NM
National Provider Identifier
1699768234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD2233
- Practice address
- 1600 Thorpe Rd
Las Cruces, NM 88012-9776 - Phone
- (505) 267-3088
- Fax
- (505) 267-1747
- NPI assigned
- Aug 30, 2005
- Last updated
- Nov 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD2233 | NM | Primary |
Addresses
Primary practice location
1600 Thorpe Rd
Las Cruces, NM 88012-9776
Mailing address
255 Hwy 187
PO Box 370
Hatch, NM 87937-0370
Phone (505) 267-3088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92472214 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD2233 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Archer Health Center | Past | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients |
Interoperability endpoints
- phayes8518@ahs.direct-ci.com
Organizations & group practices 4
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.
-
dba Ben Archer Health Center Deming School Base
- Federally Qualified Health Center (FQHC)
- Deming, NM
- NPI 1194443135
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1427330513
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1699105320
-
- Federally Qualified Health Center (FQHC)
- Radium Springs, NM
- NPI 1770734865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1699768234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 HWY 187",
"address_2": "PO BOX 370",
"city": "HATCH",
"state": "NM",
"postal_code": "879370370",
"telephone_number": "505-267-3088",
"fax_number": "505-267-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 THORPE RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880129776",
"telephone_number": "505-267-3088",
"fax_number": "505-267-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "PETER",
"middle_name": "ANDREW",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD2233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92472214",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.