NPIMap

Organization Active NPI

Dr. Leo a. Haydt, IV and Dr. Charles Ashley Mann

  • Dentist
  • Garner, NC
National Provider Identifier
1780958892
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8911 Issued in NC
Legal business name
DR. LEO A. HAYDT, IV AND DR. CHARLES ASHLEY MANN
Doing business as
Tryon Family Dentistry
Practice address
1310 Fifth Avenue
Suite 100
Garner, NC 27529-3638
Phone
(919) 747-7888
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Leo Aloysious Haydt IV, DMD
Title
Doctor/President
Phone
(919) 747-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8911 NC Primary

Addresses

Primary practice location

1310 Fifth Avenue
Suite 100
Garner, NC 27529-3638

Mailing address

1310 Fifth Avenue
Suite 100
Garner, NC 27529-3638
Phone (919) 747-7888

Other names 1

  • Tryon Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Leo a Haydt IV and Dr Charles Ashley Mann2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1310 5th Ave
#100
Garner, NC 27529
Phone (919) 747-7888

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1780958892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 FIFTH AVENUE",
            "address_2": "SUITE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293638",
            "telephone_number": "919-747-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 FIFTH AVENUE",
            "address_2": "SUITE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293638",
            "telephone_number": "919-747-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEO A. HAYDT, IV AND DR. CHARLES ASHLEY MANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "HAYDT",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "ALOYSIOUS",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "919-747-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tryon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.