Hailey Rebecca Hansen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11065 Issued in SC

Practice address

1376 Highway 17 N
North Myrtle Beach, SC 29582-2551

Phone

(843) 353-3405

NPI assigned

Apr 25, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jebediah S Christy-North Myrtle Beach PLLC

  • General Practice Dentistry
  • North Myrtle Beach, SC
  • NPI 1598125437
  NPD (past)

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1922896489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LA CANTERA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441532",
            "telephone_number": "702-428-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822551",
            "telephone_number": "843-353-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "HAILEY",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8445",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine A Greene, MA, LPC-A
• Rene' Antoinette Grego
• Amanda Elizabeth Hall, FNP
• Beverly Reese Hall
• Jacob W Hamilton
• Rondald Louis Hansis, HEARING AID SPECIALI
• Happy Body Works, Inc
• Sylvia Ann Harpe
• David Wayne Hatley
• Joslyn Marie Hawver, LPC-A

• General Practice Dentistry in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.