Individual provider Active NPI

Hayden Huett, DDS

  • Dentist
  • Gravette, AR
National Provider Identifier
1700525276
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4645 Issued in AR
Practice address
111 Main St SE
Gravette, AR 72736-8753
Phone
(479) 787-6671
NPI assigned
Jun 2, 2022
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
4645ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayden L. Huett PLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

111 Main St SE
Gravette, AR 72736
Phone (479) 787-6671

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4645 AR Primary
General Practice Dentistry 1223G0001X 11899 TN
General Practice Dentistry 1223G0001X 4645 AR
Dentist 122300000X 11899 TN

Addresses

NPPES NPI Registry

Primary practice location

111 Main St SE
Gravette, AR 72736-8753

Mailing address

1840 Sunrise Cir
Centerton, AR 72719-5040
Phone (479) 530-1757

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2024.

{
    "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.

Verify at the official NPI Registry.