Active NPI
Robert Cyrus Haraway Jr., DMD MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tuscaloosa, AL
National Provider Identifier
1043315617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3937
- Practice address
- 641 Helen Keller Blvd
Tuscaloosa, AL 35404 - Phone
- (205) 553-2524
- Fax
- (205) 553-6617
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3937 | AL | Primary |
Addresses
Primary practice location
641 Helen Keller Blvd
Tuscaloosa, AL 35404
Mailing address
641 Helen Keller Blvd
Tuscaloosa, AL 35404
Phone (205) 553-2524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90664 | Other | AL | BCBS OF AL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3937 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043315617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 HELEN KELLER BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35404",
"telephone_number": "205-553-2524",
"fax_number": "205-553-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 HELEN KELLER BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35404",
"telephone_number": "205-553-2524",
"fax_number": "205-553-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAWAY",
"first_name": "ROBERT",
"middle_name": "CYRUS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "3937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "90664",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.