NPIMap

Organization Active NPI

Kris a Haase DPM PLC

  • Durable Medical Equipment & Medical Supplies
  • Waterford, MI
National Provider Identifier
1073650206
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
KH001672 Issued in MI
Legal business name
KRIS A HAASE DPM PLC
Practice address
7611 Highland Rd
Waterford, MI 48327-1503
Phone
(248) 666-8807
Fax
(248) 666-7709
NPI assigned
Jan 30, 2007
Organization subpart
Yes
Parent organization
KRIS A HAASE DPM PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Kris A Haase, DPMNPI 1912906751
Title
Owner
Phone
(248) 666-8807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X KH001672 MI Primary

Addresses

Primary practice location

7611 Highland Rd
Waterford, MI 48327-1503

Mailing address

7611 Highland Rd
Waterford, MI 48327-1503
Phone (248) 666-8807

Other identifiers 3

IdentifierTypeStateIssuer
480033238OtherMIRAILROAD MEDICARE
4856359200OtherMIBLUE CROSS/BCN
4797510001OtherMIDME

National Provider Directory

National Provider Directory
Part of
Kris a Haase DPM PLC

Locations

7611 Highland Rd
Waterford, MI 48327
Phone (248) 666-8807

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1073650206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS A HAASE DPM PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRIS A HAASE DPM PLC",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-666-8807",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "KH001672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033238",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BCN",
            "identifier": "4856359200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4797510001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.