Individual provider Active NPI

Maria-Dolores Hayeck, D.D.S.

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1730207101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN9955 Issued in FL
Practice address
336 Sevilla Ave
Coral Gables, FL 33134-6615
Phone
(305) 444-2120
Fax
(305) 446-9285
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN9955 FL Primary

Addresses

Primary practice location

336 Sevilla Ave
Coral Gables, FL 33134-6615

Mailing address

6815 SW 73Rd CT
Miami, FL 33143-2924
Phone (305) 284-9153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20161117002657 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193004950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730207101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 SW 73RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432924",
            "telephone_number": "305-284-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SEVILLA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346615",
            "telephone_number": "305-444-2120",
            "fax_number": "305-446-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYECK",
        "first_name": "MARIA-DOLORES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.