Individual provider Active NPI

Haseeb Ali Rauf, DMD

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1023401544
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9592 Issued in SC
Practice address
1803 Hartness Dr
Greenville, SC 29615-5494
Phone
(704) 813-4015
Fax
(704) 813-4015
NPI assigned
Mar 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 9592 SC Primary

Addresses

Primary practice location

1803 Hartness Dr
Greenville, SC 29615-5494

Mailing address

1803 Hartness Dr
Greenville, SC 29615-5494
Phone (704) 813-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9592SCMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1023401544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 HARTNESS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155494",
            "telephone_number": "704-813-4015",
            "fax_number": "704-813-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 HARTNESS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155494",
            "telephone_number": "704-813-4015",
            "fax_number": "704-813-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUF",
        "first_name": "HASEEB",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-08",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.