Corbin D. Hayter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2015018285 Issued in MO

Practice address

3259 E Sunshine St Ste HH
Springfield, MO 65804-2160

Phone

(417) 887-7701

Fax

(417) 881-7327

NPI assigned

Jun 16, 2015

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MO

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

Practice roles

Locations

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.

• Corbin Hayter DDS LLC

  • Dental Clinic/Center
  • Springfield, MO
  • NPI 1649818758
  NPD Authorized official
• Davis Dental Associates, D.D.S., P.C.

  • General Practice Dentistry
  • Nixa, MO
  • NPI 1861466120
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1740661750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 E SUNSHINE ST STE HH",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042160",
            "telephone_number": "417-887-7701",
            "fax_number": "417-881-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 E SUNSHINE ST STE HH",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042160",
            "telephone_number": "417-887-7701",
            "fax_number": "417-881-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYTER",
        "first_name": "CORBIN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2015018285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Haygood
• Amelia Haymes
• Richard Reuel Haymes, PHD
• Joseph Reid Haynes, MD
• Cameron David Hayter, CRNA
• Rachel Armilda Hayter, LCSW
• Raechelle Hayter, DDS
• Magda Hayton, MS, LPC
• Bailee Hayward
• Hcow- Healthcare on Wheels L.C.

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.