Active NPI
Donald C. Hainer, D.D.S
- Dentist
- Kent, WA
National Provider Identifier
1891825303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00006163
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160317001381 | WA | Order and Referring Only - Dentist | 4880990878 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhaliwal and Dhaliwal DDS, PLLC | Past | 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.
-
- General Practice Dentistry
- Covington, WA
- NPI 1144928276
-
- General Practice Dentistry
- Kent, WA
- NPI 1750834883
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.