Individual provider Active NPI

Stayner Haller, DDS

  • Endodontics
  • Lansing, MI
National Provider Identifier
1770750325
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8397 Issued in MI
Practice address
1322 E Michigan Ave
Sparrow Medical Arts Builing Suite 302
Lansing, MI 48912-2176
Phone
(517) 484-4515
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8397 MI Primary
Endodontics 1223E0200X E22 MI

Addresses

Primary practice location

1322 E Michigan Ave
Sparrow Medical Arts Builing Suite 302
Lansing, MI 48912-2176

Mailing address

1322 E Michigan Ave
Sparrow Medical Arts Building Suite 302
Lansing, MI 48912-2176
Phone (517) 484-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8397MIMDEndodontist
E22MIMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1770750325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "address_2": "SPARROW MEDICAL ARTS BUILDING SUITE 302",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122176",
            "telephone_number": "517-484-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "address_2": "SPARROW MEDICAL ARTS BUILING SUITE 302",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122176",
            "telephone_number": "517-484-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "STAYNER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "8397",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "E22",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.