Joellen M Havron, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5683 Issued in AL

Practice address

28425 State Highway 75
Oneonta, AL 35121-1657

Phone

(205) 625-4384

Fax

(205) 625-4737

NPI assigned

Jul 13, 2009

Last updated

Jul 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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.

• Kuntal S Pandit DMD PC

  dba Oneonta Dental Center

  • Dentist
  • Oneonta, AL
  • NPI 1760506141
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1801025853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 STATE HIGHWAY 75",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211657",
            "telephone_number": "205-625-4384",
            "fax_number": "205-625-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28425 STATE HIGHWAY 75",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211657",
            "telephone_number": "205-625-4384",
            "fax_number": "205-625-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRON",
        "first_name": "JOELLEN",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5683",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Luther Hall, MD
• Delana Hall, CRNP
• Kristin Hamby
• Cindy Stewart Hamrick, CRNA
• Narda F Harp, MS
• Bridget K Hennessy, DMD
• Heritage Dental, P.C.
• Katherine Ann Herring, CRNP
• Randall G. Hess, DO
• Pavanee Hettiaratchi Hinton, OTR/L

• General Practice Dentistry in Oneonta, AL
• Providers in Oneonta, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.