Organization Active NPI

Hailand Dental LLC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1790444719
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HAILAND DENTAL LLC
Doing business as
Geyer Dental Group
Practice address
610 N Geyer Rd
Saint Louis, MO 63122-2756
Phone
(314) 965-4064
Fax
(314) 965-1141
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Dr. Abby HailandNPI 1033696943
Title
Owner/Doctor
Phone
(913) 972-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

610 N Geyer Rd
Saint Louis, MO 63122-2756

Mailing address

610 N Geyer Rd
Saint Louis, MO 63122-2756
Phone (314) 965-4064

Other names 1

  • Geyer Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

610 N Geyer Rd
Saint Louis, MO 63122
Phone (314) 965-4064

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1790444719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GEYER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222756",
            "telephone_number": "314-965-4064",
            "fax_number": "314-965-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GEYER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222756",
            "telephone_number": "314-965-4064",
            "fax_number": "314-965-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILAND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "HAILAND",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "913-972-4077",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geyer Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.