Robert E. Haraden DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT E. HARADEN DDS, P.C.

Practice address

142 Washington St
Woodstock, IL 60098-3355

Phone

(815) 338-0690

Fax

(815) 338-4719

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Eugene Haraden, D.D.S.

Title

President

Phone

(815) 338-0690

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry OF Woodstock Doing business as

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1114175940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WASHINGTON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983355",
            "telephone_number": "815-338-0690",
            "fax_number": "815-338-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WASHINGTON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983355",
            "telephone_number": "815-338-0690",
            "fax_number": "815-338-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. HARADEN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "HARADEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-338-0690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry OF Woodstock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Luis Ribarchik, OD
• Stacia Riffe, MS,RD,LDN
• Elizabeth Rios, APN
• Jennifer Rispens, PHARM.D.
• Soutsada T Rivera I, DPT
• Elizabeth Caswell Rodgers, PHARM.D.
• Guadalupe Rodriguez
• Mary Josephine Roeber, PT
• Thomas G Rogers, CCC-SLP
• Roman J. Dykun, MD

• General Practice Dentistry in Woodstock, IL
• Providers in Woodstock, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.