Lori A Haines, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6792 Issued in KY

Practice address

112 Fairfield Hill
Bloomfield, KY 40008

Phone

(502) 507-7181

NPI assigned

Jan 17, 2007

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lori.haines.p1@direct.360care.nextgenshare.com

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1720130024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "112 FAIRFIELD HILL ROAD",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400080027",
            "telephone_number": "502-252-5158",
            "fax_number": "502-252-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FAIRFIELD HILL",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "40008",
            "telephone_number": "502-507-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Carter
• Claywell Inc (Medica Pharmacy)
• Claywell, Inc (Medica Pharmacy Bloomfield)
• Jonathan Lee Cornell
• Tami Michelle Grant
• Margaret Adison Hayden
• Hendren and Lockett PLLC
• Robert Dawson Hendren, MD
• Jessica B Ice, PA
• Steve King, RPH

• General Practice Dentistry in Bloomfield, KY
• Providers in Bloomfield, 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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.