Individual provider Active NPI

Mark Francis Haas, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stow, OH
National Provider Identifier
1073595500
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30017901 Issued in OH
Practice address
3727 Darrow Rd
Stow, OH 44224-4011
Phone
(330) 688-8667
Fax
(330) 688-5280
NPI assigned
Nov 18, 2005
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30017901 OH Primary

Addresses

Primary practice location

3727 Darrow Rd
Stow, OH 44224-4011

Mailing address

3727 Darrow Rd
Stow, OH 44224-4011
Phone (330) 688-8667

Other practice location 1

3154 S Arlington Rd
Akron, OH 44312-5214
Phone (330) 644-1033

Other identifiers 1

IdentifierTypeStateIssuer
0959600MedicaidOH

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
30017901OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Haas Orthodontic Arts Orthodontics and Dentofacial Orthopedics CurrentSince Jun 23, 2024 Accepting new patients

Locations

3154 S Arlington Rd
Green, OH 44312
Phone (330) 644-1033

3727 Darrow Rd
Stow, OH 44224
Phone (330) 688-8667

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1073595500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244011",
            "telephone_number": "330-688-8667",
            "fax_number": "330-688-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244011",
            "telephone_number": "330-688-8667",
            "fax_number": "330-688-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3154 S Arlington Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443125214",
            "country_code": "US",
            "telephone_number": "330-644-1033",
            "fax_number": "330-644-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MARK",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30017901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.