Active NPI
Alexander Haug, ARMY X2
- Dental Hygienist
- White Sands Missile Range, NM
National Provider Identifier
1174269955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 1363 Aberdeen Avenue
White Sands Missile Range, NM 88002 - Phone
- (575) 678-3597
- NPI assigned
- May 5, 2022
- Last updated
- May 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | NU | Primary |
Addresses
Primary practice location
1363 Aberdeen Avenue
White Sands Missile Range, NM 88002
Mailing address
2901 Cassidy Rd
Fort Bliss, TX 79916-3502
Phone (915) 742-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1174269955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 CASSIDY RD",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "799163502",
"telephone_number": "915-742-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 ABERDEEN AVENUE",
"city": "WHITE SANDS MISSILE RANGE",
"state": "NM",
"postal_code": "88002",
"telephone_number": "575-678-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "ALEXANDER",
"credential": "ARMY X2",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Sands Missile Range, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.