Active NPI
Robert W Haug, DC
- Neurology Chiropractor
- Moscow, ID
National Provider Identifier
1013970698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CHIA-575
- Practice address
- 102 S Washington St
Moscow, ID 83843-2842 - Phone
- (208) 882-3012
- Fax
- (208) 882-0396
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CHIA-575 | ID | Primary |
Addresses
Primary practice location
102 S Washington St
Moscow, ID 83843-2842
Mailing address
102 S Washington St
Moscow, ID 83843-2842
Phone (208) 882-3012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1672459 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fiegel Chiropractic & Wellness Clinic PC | Current | Accepting new patients |
Locations
102 S Washington St
Moscow, ID 83843
Phone (208) 882-3012
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Moscow, ID
- NPI 1942778063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1013970698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S WASHINGTON ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432842",
"telephone_number": "208-882-3012",
"fax_number": "208-882-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S WASHINGTON ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432842",
"telephone_number": "208-882-3012",
"fax_number": "208-882-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "ID",
"license": "CHIA-575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1672459",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.