Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932307329 Individual Practitioner Male Practitioner

Samuel Hayatt

Dentist • La Jolla, CA

Professional Overview & Biography Verified Profile Summary

Samuel Hayatt is a registered healthcare professional specializing in Dentist in La Jolla, CA. Practice services are available at 4130 LA JOLLA VILLAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4130 La Jolla Village Dr
105

La Jolla, CA 920379121

Telephone 8584557777
Fax 8584557767
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in La Jolla, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
49 Specialists

Practicing in La Jolla, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 55781

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D55781 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Faith-Roselle Barreyro , DMD

Dentist - General Practice

NPI 1336709674

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2011

Registered at 4130 LA JOLLA VILLAGE DR, 105, LA JOLLA, CA 920379121 (Tel: 8584557777)

📍
Updated Business Mailing Address April 01, 2011

Registered at 4130 LA JOLLA VILLAGE DR, # 105, LA JOLLA, CA 920379121 (Tel: 8584557777)

👤
Provider Name / Credentials Updated April 01, 2011

Recorded as SAMUEL HAYATT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2011

Dentist (License #55781 in CA)

🟢
Initial NPI Registration & Enumeration July 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932307329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2007
Last Update: April 01, 2011
Sole Proprietor: Yes

Mailing Address

4130 La Jolla Village Dr, # 105

La Jolla, CA 920379121

Phone: 8584557777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.