Individual provider Active NPI

David A. Haiar, D.D.S.

  • Dentist
  • Marion, SD
National Provider Identifier
1235278797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M549 Issued in SD
Practice address
305 East State St
Marion, SD 57043-0077
Phone
(605) 648-3511
Fax
(605) 648-3819
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M549 SD Primary

Addresses

Primary practice location

305 East State St
Marion, SD 57043-0077

Mailing address

305 East State Street
Marion, SD 57043-0077
Phone (605) 648-3511

Other identifiers 1

IdentifierTypeStateIssuer
7803390MedicaidSD

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

State licenses

LicenseStateTypeSpecialty
M549SDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235278797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST STATE STREET",
            "city": "MARION",
            "state": "SD",
            "postal_code": "570430077",
            "telephone_number": "605-648-3511",
            "fax_number": "605-648-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAST STATE ST",
            "city": "MARION",
            "state": "SD",
            "postal_code": "570430077",
            "telephone_number": "605-648-3511",
            "fax_number": "605-648-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIAR",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803390",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.