Christian Daniels, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001048-15 Issued in WI

Practice address

601 State Road 35
Centuria, WI 54824-9014

Phone

(715) 646-2161

NPI assigned

Aug 3, 2022

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgeann C. Vargas DDS, LTD

  dba Hauge Dental Clinic

  • Dental Clinic/Center
  • Centuria, WI
  • NPI 1396104097
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1184351819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 ARNOLD PALMER DR",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROAD 35",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "548249014",
            "telephone_number": "715-646-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHRISTIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001048-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Bergstrom, O.D.
• Rachel C Clark, DDS
• Morgan Clemenson
• Alysia Mae Fisher, RDH
• Georgeann C. Vargas DDS, LTD (Hauge Dental Clinic)
• Paul Allen Hauge, DDS
• Kindred Spirits Home Health Agency LLC
• Paul a. Hauge, DDS, LTD

• General Practice Dentistry in Centuria, WI
• Providers in Centuria, 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 Aug 3, 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.

Verify at the official NPI Registry.