NPIMap

Organization Active NPI

Alayna Hattenhauer DDS PLLC

  • Dental Clinic/Center
  • Blytheville, AR
National Provider Identifier
1962137331
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALAYNA HATTENHAUER DDS PLLC
Practice address
507 Hutson St
Blytheville, AR 72315-2415
Phone
(870) 762-5274
Fax
(870) 762-5280
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Alayna Hattenhauer, DDSNPI 1558854588
Title
Owner
Phone
(870) 762-5274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

507 Hutson St
Blytheville, AR 72315-2415

Mailing address

507 Hutson St
Blytheville, AR 72315-2415
Phone (870) 762-5274

Other identifiers 2

IdentifierTypeStateIssuer
1558854588OtherARARKANSAS
1811022692OtherARARKANSAS

Other names 1

  • Alayna Hattenhauer DDS PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

507 Hutson St
Blytheville, AR 72315
Phone (870) 762-5274

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1962137331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HUTSON ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152415",
            "telephone_number": "870-762-5274",
            "fax_number": "870-762-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HUTSON ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152415",
            "telephone_number": "870-762-5274",
            "fax_number": "870-762-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAYNA HATTENHAUER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HATTENHAUER",
        "authorized_official_first_name": "ALAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-762-5274",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS",
            "identifier": "1558854588",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS",
            "identifier": "1811022692",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alayna Hattenhauer DDS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.