NPIMap

Organization Active NPI

Dr. Kimberly D. Haug, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alton, IL
National Provider Identifier
1164792719
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021.001908 Issued in IL
Legal business name
DR. KIMBERLY D. HAUG, PC
Practice address
2411 Morning Star Dr
Alton, IL 62002-5657
Phone
(618) 463-7002
Fax
(618) 463-7006
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Kimberly D Haug, D.M.D., M.S.
Title
Owner/President
Phone
(618) 463-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 021.001908 IL Primary

Addresses

Primary practice location

2411 Morning Star Dr
Alton, IL 62002-5657

Mailing address

2411 Morning Star Dr
Alton, IL 62002-5657
Phone (618) 463-7002

National Provider Directory

National Provider Directory
Tax ID family
Dr Kimberly D Haug PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1164792719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 MORNING STAR DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025657",
            "telephone_number": "618-463-7002",
            "fax_number": "618-463-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 MORNING STAR DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025657",
            "telephone_number": "618-463-7002",
            "fax_number": "618-463-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIMBERLY D. HAUG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "HAUG",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-463-7002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.