Samuel Hayatt

Primary specialty

DentistTaxonomy code 122300000X

License

55781 Issued in CA

Practice address

4130 La Jolla Village Dr
105
La Jolla, CA 92037-9121

Phone

(858) 455-7777

Fax

(858) 455-7767

NPI assigned

Jul 6, 2007

Last updated

Apr 1, 2011By 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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samuel Hayatt DMD Inc.

  • Dentist
  • Chula Vista, CA
  • NPI 1851665871
  NPD Authorized official
• Samuel Hayatt DMD, Inc.

  • General Practice Dentistry
  • El Cajon, CA
  • NPI 1407273139
  NPD

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1932307329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "# 105",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379121",
            "telephone_number": "858-455-7777",
            "fax_number": "858-455-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "105",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379121",
            "telephone_number": "858-455-7777",
            "fax_number": "858-455-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYATT",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weldon Haw, M.D.
• Michelle Aubrey Hawkes, NP
• Kimberly Hawkins, N.P.
• Denise Lynn Hawkinson, PH.D.
• Ashkan Hayatdavoudi, M.D.
• Stephen R Hayden, MD
• Alaina Haynes
• Ryan Hazley, DNP, AGNP-C, FNP-C
• Georgie Head
• Lane Loretta Marie Healey, LMFT

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.