Thomas Joseph Haas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10860 Issued in MN

Practice address

133 W 1St St
Waconia, MN 55387-1333

Phone

(952) 442-2816

NPI assigned

Oct 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053493395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 HALSEY AVE SE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553134604",
            "telephone_number": "763-477-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W 1ST ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871333",
            "telephone_number": "952-442-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie K. Grotzinger, PA-C
• Andrea Elizabeth Guimont, MS, OTR/L
• Cinda Kathleen Gunderson, LICSW
• Gregory James Gunderson, DPT
• John M Guse, D.C.
• Katherine K Hackett, M.D.
• Gabrielle Hagen
• Heather Hagen, M.D.
• William Howard Hague, MD
• Samantha Hajek

• General Practice Dentistry in Waconia, MN
• Providers in Waconia, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.