Nicole Haydt, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Murrieta, CA. Individual provider (NPI-1).
NPI number1659985232
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1659985232
- Entity type
- Individual (NPI-1)
- Name
- Nicole Haydt
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 107346 | CA | Yes |
| 122300000X | Dentist | DEN.00204298 | CO |
Practice location
39872 Los Alamos Rd Ste A1Murrieta, CA 92562-5871
Phone 951-200-3339
Mailing address
364 W Linden DrOrange, CA 92865-5000
Phone 805-390-9438
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