Active NPI
Deborah A Haynes-James, DDS
- General Practice Dentistry
- McArthur, OH
National Provider Identifier
1811098692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.019092
- Practice address
- 31891 State Route 93
MC Arthur, OH 45651-9006 - Phone
- (740) 596-5249
- Fax
- (740) 596-5471
- NPI assigned
- Sep 26, 2006
- Last updated
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.019092 | OH | Primary |
Addresses
Primary practice location
31891 State Route 93
MC Arthur, OH 45651-9006
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2644731 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218001443 | OH | Order and Referring Only - Dentist | 6800191479 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.019092 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1811098692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456010188",
"telephone_number": "740-773-4366",
"fax_number": "740-775-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31891 STATE ROUTE 93",
"city": "MC ARTHUR",
"state": "OH",
"postal_code": "456519006",
"telephone_number": "740-596-5249",
"fax_number": "740-596-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES-JAMES",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.019092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2644731",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in McArthur, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.