Active NPI
Hayden Huett, DDS
- Dentist
- Gravette, AR
National Provider Identifier
1700525276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4645
- Practice address
- 111 Main St SE
Gravette, AR 72736-8753 - Phone
- (479) 787-6671
- NPI assigned
- Jun 2, 2022
- Last updated
- Sep 3, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4645 | AR | Primary |
| General Practice Dentistry | 1223G0001X | 11899 | TN | |
| General Practice Dentistry | 1223G0001X | 4645 | AR | |
| Dentist | 122300000X | 11899 | TN |
Addresses
Primary practice location
111 Main St SE
Gravette, AR 72736-8753
Mailing address
1840 Sunrise Cir
Centerton, AR 72719-5040
Phone (479) 530-1757
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 |
|---|---|---|---|
| 4645 | AR | MD | Physical Therapist |
| 11899 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayden L. Huett PLC | Current | Accepting new patients |
Locations
111 Main St SE
Gravette, AR 72736
Phone (479) 787-6671
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1700525276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 SUNRISE CIR",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727195040",
"telephone_number": "479-530-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MAIN ST SE",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727368753",
"telephone_number": "479-787-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUETT",
"first_name": "HAYDEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4645",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11899",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4645",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11899",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gravette, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.