Kathryn Dixon Haynes, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

KY5767 Issued in KY

Practice address

750 Morton Blvd
Hazard, KY 41701-9469

Phone

(606) 439-1559

Fax

(606) 439-1422

NPI assigned

Mar 30, 2007

Last updated

Oct 26, 2011By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1720108921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-439-1559",
            "fax_number": "606-439-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-439-1559",
            "fax_number": "606-439-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "KATHRYN",
        "middle_name": "DIXON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "KY5767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60057676",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Harris, PTA
• Hunter Christian Harvey, HIS
• Hassan H Ghazal MD (Kentucky Cancer Clinic)
• Wendy Hatton, LPCC
• Gentry Hayes
• Hazard Arh Imaging Center LLC (Medical Mall Imaging Center)
• Hazard Arh Imaging Center LLC (Medical Mall Imaging Center)
• Hazard Arh Regional Medical Center
• Hazard Family Medical Clinic
• Hazard Ind. Schools

• General Practice Dentistry in Hazard, KY
• Providers in Hazard, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.