Zachary Haley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30025115 Issued in OH

Practice address

3637 Medina Rd Ste 200
Medina, OH 44256-8154

NPI assigned

May 25, 2017

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 OH

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

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.

• Streetsboro Dental

  • General Practice Dentistry
  • Streetsboro, OH
  • NPI 1013386739
  NPD (past)
• Streetsboro Dental Partners Inc

  • General Practice Dentistry
  • Streetsboro, OH
  • NPI 1649437336
  NPD (past)

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1750819488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 COUNTY ROAD 1356",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059363",
            "telephone_number": "419-685-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30025115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braxton Hahn
• Christian Hairston
• Halden Psychotherapy and Consultation
• Kayla M Hale
• Michelle Haley
• Andrea Hall, MSN,RN, PMHNP-BC
• Buel E. Hall, PA-C
• Dena D Hall, APRN-CNP, PMHNP-BC
• Jesse Hall
• Lynda F Hall, LPN

• Dentist in Medina, OH
• Providers in Medina, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.