Jennifer Ann Havel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5619 Issued in WI

Practice address

1101 N 6TH St
Wausau, WI 54403-3505

Phone

(715) 848-3241

Fax

(715) 848-3247

NPI assigned

Mar 2, 2007

Sex

Female

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 WI

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

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1154450567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MCCLELLAN ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034947",
            "telephone_number": "715-848-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N 6TH ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033505",
            "telephone_number": "715-848-3241",
            "fax_number": "715-848-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Hartke, NP
• Vance T Hartke, MD
• Margaret Ann Hartleben, P.T.
• Carl John Hash, D.D.S.
• Matthew G. Hattenhauer, M.D.
• Courtney Hayashi
• Stephen Hayden, CRNA
• Jaycie Haydock
• Antoinette Gonzaga Hayek, M.D
• Reyaad A. Hayek, MD

• General Practice Dentistry in Wausau, WI
• Providers in Wausau, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.