Rafael E Hazembuller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37991 Issued in TX

Practice address

10740 Research Blvd Ste 125
Austin, TX 78759-5809

Phone

(512) 795-9960

Fax

(512) 795-9508

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hammons Family Dental

  • General Practice Dentistry
  • Austin, TX
  • NPI 1336433416
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1790443083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 RESEARCH BLVD STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595809",
            "telephone_number": "512-795-9960",
            "fax_number": "512-795-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 RESEARCH BLVD STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595809",
            "telephone_number": "512-795-9960",
            "fax_number": "512-795-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEMBULLER",
        "first_name": "RAFAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "37991",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.hammons@hammonsfamilydental.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10740 Research Blvd Ste 125",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787595809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaevon D Haywood, PT, DPT
• Shirley D Haywood, M.ED, LCPC
• Stephanie Marie Haywood, LCSW-S, LCSW, LICSW
• Enrique Hazel, PT
• Kiersten C Hazelwood
• Lonnie Ray Hazlewood, MSHP
• HC Orthopaedics (Austin Orthopaedics Spine & Sports Medicine)
• Lan He
• Vanessa Nicole He, FNP-C
• Weishan He

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.