Hackney Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60035243 Issued in WA

Legal business name

HACKNEY FAMILY DENTISTRY

Practice address

1051 SE State Route 3
Shelton, WA 98584-7117

Phone

(360) 426-1676

Fax

(360) 427-4303

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Houston Hackney, DDSNPI 1265686463

Title

Partner/Dentist

Phone

(360) 426-1676

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Houston Hackney, DDS

  • Dentist
  • Shelton, WA
  • NPI 1265686463
  NPD (past) Authorized official
• Travis S Hackney, DDS

  • General Practice Dentistry
  • Shelton, WA
  • NPI 1578587648
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1891934550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985840398",
            "telephone_number": "360-426-1676",
            "fax_number": "360-427-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SE STATE ROUTE 3",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847117",
            "telephone_number": "360-426-1676",
            "fax_number": "360-427-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKNEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "360-426-1676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60035243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guo & Huang DDS PLLC (Shelton Dental Excellence)
• Song Yan Guo, DDS
• Deneice Gurrad, RPH
• Dean E Gushee, M.D.
• H. E. B. Behavioral Medicine, P. C.
• Kathryn P Hackney, PAC
• Kyle Houston Hackney, DDS
• Robert Duane Hackney, DDS
• Travis S Hackney, DDS
• Dari Hagan

• Dental Clinic/Center in Shelton, WA
• Providers in Shelton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.