Organization Active NPI

Haoson Dental Group

  • General Practice Dentistry
  • Upper Darby, PA
National Provider Identifier
1124323357
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036164 Issued in PA
Legal business name
HAOSON DENTAL GROUP
Practice address
6 Garrett Rd
Upper Darby, PA 19082-2303
Phone
(610) 352-4525
Fax
(610) 352-4525
NPI assigned
Jan 19, 2011
Last updated
Jun 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Weixiong Stephen Hao, D.M.D.NPI 1891847570
Title
Vice President
Phone
(610) 352-4525

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
General Practice Dentistry 1223G0001X DS036164 PA Primary

Addresses

Primary practice location

6 Garrett Rd
Upper Darby, PA 19082-2303

Mailing address

6 Garrett Rd
Upper Darby, PA 19082-2303

Other identifiers 1

IdentifierTypeStateIssuer
0014245280003MedicaidPA

National Provider Directory

National Provider Directory

Locations

6 Garrett Rd
Upper Darby, PA 19082
Phone (610) 352-4525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1124323357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GARRETT RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GARRETT RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822303",
            "telephone_number": "610-352-4525",
            "fax_number": "610-352-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAOSON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "HAO",
        "authorized_official_first_name": "WEIXIONG",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-352-4525",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014245280003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.