Carl Haedge III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7677 Issued in MN

Practice address

1525 Livingston Ave
West Saint Paul, MN 55118-3411

Phone

(651) 457-4888

Fax

(651) 457-6682

NPI assigned

Oct 11, 2005

Last updated

Jul 13, 2026By 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.

• Back in Balance Chiropractic, PA

  dba wildenauer chiropractic clinic

  • Chiropractor
  • West St Paul, MN
  • NPI 1922289719
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194713305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19165 EAGLEVIEW LN",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723801",
            "telephone_number": "952-226-6312",
            "fax_number": "651-457-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LIVINGSTON AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183411",
            "telephone_number": "651-457-4888",
            "fax_number": "651-457-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEDGE",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D7677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.