Terrance Leo Hauck, M.D.,D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

58645 Issued in WA

Practice address

101 W Cascade Way
Suite 103
Spokane, WA 99208-6003

Phone

(509) 468-1535

Fax

(509) 467-6372

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033109723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 S HOGAN CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992238105",
            "telephone_number": "509-448-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CASCADE WAY",
            "address_2": "SUITE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086003",
            "telephone_number": "509-468-1535",
            "fax_number": "509-467-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "TERRANCE",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "58645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5034061",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "58645",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "153400",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan J Hathaway, L.M.P.
• Stephen R. Hathaway, D.C.
• Kirsten H Hatton, OTR/L
• Reta Renee Hatton, OTD, OTR/L
• Hauck & Freuen PLLC (Spokane Oral Surgery)
• Wendy Ricouard Hauck, LMHCA
• Anna Haugen, BSN, RN
• Brittany C Haugen, LMHC
• Rochelle Haugen
• Janna Rdialul Haun, RN

• Oral and Maxillofacial Surgery (Dentist) in Spokane, WA
• Providers in Spokane, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.