Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255907101 Individual Practitioner Female Practitioner

Dr. Raysham Hayat , DDS

Dentist - General Practice • Sullivan, MO

Professional Overview & Biography Verified Profile Summary

Dr. Raysham Hayat, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sullivan, MO. Practice services are available at 101 PROGRESS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Progress Pkwy

Sullivan, MO 630802359

Telephone 8448538937
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sullivan, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Sullivan, MO (2113 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

CMS Verified: 2022-12-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2021018765

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
400097855 (MO)

Secondary Practice Locations

3785 New Town Blvd

Saint Charles, MO 633014358

Phone: 8448538937

Practice Associates & Co-Workers

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

40 Associated Practitioners
Charlene Atkins

Counselor - Professional

NPI 1003075482
NPI 1003270851

Master of Arts, LADCS, CPCI, Licensed Professional Counselor

Lindsey Rahe

Counselor - Professional

NPI 1003452186
Kayle Streb , LCSW

Social Worker - Clinical

NPI 1003503467

Licensed Clinical Social Worker

Lindsay Ingram , LPC

Counselor - Professional

NPI 1003527144

Licensed Professional Counselor

Dr. Nikesha Walters , DMD

Dentist - General Practice

NPI 1003545294

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address December 19, 2022

Registered at 1800 COMMUNITY, CLINTON, MO 647358804 (Tel: 6608858131)

NPI Profile Active June 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2021

Registered at 101 PROGRESS PKWY, SULLIVAN, MO 630802359 (Tel: 8448538937)

📍
Updated Business Mailing Address June 01, 2021

Registered at 500 CENTRAL PARK DR APT 417, OKLAHOMA CITY, OK 731051721

👤
Provider Name / Credentials Updated June 01, 2021

Recorded as RAYSHAM HAYAT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Dentist (License #2021018765 in MO)

🟢
Initial NPI Registration & Enumeration June 01, 2021

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: 1255907101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2021
Last Update: December 19, 2022
Sole Proprietor: No

Mailing Address

1800 Community

Clinton, MO 647358804

Phone: 6608858131

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.