Randall Marshall Haas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2929 Issued in FL

Practice address

11481 Old Saint Augustine Rd
Suite 405
Jacksonville, FL 32258-1473

Phone

(904) 260-1993

Fax

(904) 260-6452

NPI assigned

Dec 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Breakthrough Healthcare, LLC

  • Nutrition Chiropractor
  • Jacksonville, FL
  • NPI 1780042598
  NPD (past) Authorized official
• Randall M. Haas, DC PA

  • Chiropractor
  • Jacksonville, FL
  • NPI 1598902918
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1235292558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 OLD SAINT AUGUSTINE RD",
            "address_2": "STE 405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581473",
            "telephone_number": "904-260-1993",
            "fax_number": "904-260-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 OLD SAINT AUGUSTINE RD",
            "address_2": "SUITE 405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581473",
            "telephone_number": "904-260-1993",
            "fax_number": "904-260-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "RANDALL",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050777600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H2H
• H2H Support Services
• Irvin Haak, PT
• Lucas Byron Haaren
• Kristan Haas
• Stephen Beckley Haas, DDS
• Charles August Haasis, MSW
• Sue A Haasis, R.D., L.D.
• Hab & Associate Alternative Solutions LLC
• Hanaa Malik Habashi, O.D.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.