Todd D. Haworth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6211 Issued in WA

Practice address

422 E Lauridsen Blvd
Port Angeles, WA 98362-7952

Phone

(360) 457-5152

Fax

(360) 457-6673

NPI assigned

Jan 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 WA

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

Practice roles

Locations

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.

• Peninsula Sleep Solutions

  • Customized Equipment (DME)
  • Port Angeles, WA
  • NPI 1548827561
  NPD Authorized official
• Woodland Ames Boyack Despain PLLC

  dba Ridgeline Dental

  • Dental Clinic/Center
  • Port Angeles, WA
  • NPI 1043192990
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083761605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627952",
            "telephone_number": "360-457-5152",
            "fax_number": "360-457-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627952",
            "telephone_number": "360-457-5152",
            "fax_number": "360-457-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWORTH",
        "first_name": "TODD",
        "middle_name": "D.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Hastings, OTR/L
• Curt Laurence Haugen, PA-C
• Jennifer M. Haugland, M.S., L.M.H.C.
• Laura J Havens, LMFT LMHC
• Koreena Hawkins
• Julie Kathleen Hayduk, RN
• Felicia Hayward, NCMA
• Jaime C Haywood, CCC-SLP
• Sarah Alice Heck, PA-C
• Cara Marie Heckenlaible

• General Practice Dentistry in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• General Practice Dentistry in Washington

• 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.