DR. JOHN ROBERT HAYNIE D.D.S
NPI 1164650008
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since June 30, 2009Opted out of Medicare · through Oct 7, 2027
1050 WISHARD BLVD RG-4201, INDIANAPOLIS, IN 46202(317) 278-3662(317) 278-2243 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John Robert Haynie D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN ROBERT HAYNIE D.D.S (NPI 1164650008) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (42000389A) and active in the NPI registry since June 2009. He has opted out of Medicare through October 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164650008
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN ROBERT HAYNIECredential: D.D.S
Location Address1050 WISHARD BLVD RG-4201Indianapolis, IN 46202
Mailing Address1050 Wishard Blvd Rg-4201Indianapolis, IN 46202 · (317) 278-3662 · Fax (317) 278-2243
Fax(317) 278-2243
Sole ProprietorNo
Enumeration DateJune 30, 2009
✔ NPI 1164650008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in IN · 42000389A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1050 WISHARD BLVD RG-4201, Indianapolis, IN 46202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. John Robert Haynie D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2017 through October 7, 2027.

Opt-Out Effective DateOctober 7, 2017
Opt-Out In Effect ThroughOctober 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Haynie's NPI number?

The NPI number for John Haynie is 1164650008. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is John Haynie located?

John Haynie practices at 1050 Wishard Blvd Rg-4201, Indianapolis, IN 46202. The listed phone number is (317) 278-3662.

What is John Haynie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Haynie enrolled in Medicare?

No. John Haynie has opted out of Medicare through October 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Haynie accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list John Haynie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Haynie was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.