Thales Christian Haskell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1475 Issued in WY

Practice address

1001 Eagle View Dr
Buffalo, WY 82834-1417

Phone

(307) 684-0119

Fax

(307) 684-0120

NPI assigned

Jul 17, 2017

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Eagle Summit Dental Clinic, Inc

  • General Practice Dentistry
  • Buffalo, WY
  • NPI 1457631558

  General Practice

  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194248625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 TALON DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043279",
            "telephone_number": "307-237-1801",
            "fax_number": "307-237-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EAGLE VIEW DR",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341417",
            "telephone_number": "307-684-0119",
            "fax_number": "307-684-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3090 Talon Dr",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826043279",
            "country_code": "US",
            "telephone_number": "307-237-1801",
            "fax_number": "307-237-3686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "THALES",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra K Ham, FNP-C
• Hand and Physical Therapy of Wyoming Limited Partnership
• Hand Therapy of Wyoming Buffalo/Sheridan
• Hand Therapy of Wyoming LLC
• Rose M Harriet, LPC
• Lindsey M Hazen
• Starrlee Heady, LMHC, LPC
• Hein Dental LLC
• Matthew Hein, D.D.S.
• Philip Francis Milton Henry, DPT, PT

• All providers in Buffalo, WY
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.