Charles Tabb Hazelrigg III, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4314 Issued in SC

Practice address

1713 Devonshire Dr
Columbia, SC 29204-2404

Phone

(803) 779-2427

NPI assigned

Jun 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912101189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NEW MARKET CIR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738752",
            "telephone_number": "803-807-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 DEVONSHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042404",
            "telephone_number": "803-779-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELRIGG",
        "first_name": "CHARLES",
        "middle_name": "TABB",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shailah Myleka Haynes
• Shannon Jean Haynes, LISW-CP
• Tarshiba Haynes
• Theada C. Haynes, R.N.
• Tonya Ward Haywood, APRN
• Chelsea Head, ATC
• Kathleen A Head, APRN
• Kendra Noelle Head, APRN
• Lashell L Head, FNP-BC
• Patricia Michele Head, FNP-BC

• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.