Individual provider Active NPI

Donald C. Hainer, D.D.S

  • Dentist
  • Kent, WA
National Provider Identifier
1891825303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006163 Issued in WA
Practice address
10725 SE 256TH St
Suite #1
Kent, WA 98030-8285
Phone
(253) 854-2714
Fax
(253) 854-3184
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00006163 WA Primary

Addresses

Primary practice location

10725 SE 256TH St
Suite #1
Kent, WA 98030-8285

Mailing address

10725 SE 256TH St
Suite #1
Kent, WA 98030-8285
Phone (253) 854-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160317001381 WA Order and Referring Only - DentistPractitioner - Dentist 4880990878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dhaliwal and Dhaliwal DDS, PLLC PastSince Feb 19, 2023 Accepting new patients
Dhaliwal, DDS, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891825303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST",
            "address_2": "SUITE #1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714",
            "fax_number": "253-854-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST",
            "address_2": "SUITE #1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714",
            "fax_number": "253-854-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINER",
        "first_name": "DONALD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.