James D. Haberman, Jr. DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAMES D. HABERMAN, JR. DDS, PLLC

Practice address

9529 244TH St SW
Edmonds, WA 98020-6527

Phone

(206) 542-7557

Fax

(206) 546-2214

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. James Dale Haberman Jr., DDSNPI 1467403022

Title

Owner/President

Phone

(206) 542-7557

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James D Haberman Jr., DDS

  • General Practice Dentistry
  • Edmonds, WA
  • NPI 1467403022
  NPD Authorized official
• Sneha Yerra

  • Dentist
  • Edmonds, WA
  • NPI 1659800993
  NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1235777400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 244TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980206527",
            "telephone_number": "206-542-7557",
            "fax_number": "206-546-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9529 244TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980206527",
            "telephone_number": "206-542-7557",
            "fax_number": "206-546-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. HABERMAN, JR. DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "206-542-7557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole J Jacobson, LMFT
• Ian Jacobson
• Kevin Jacobson
• Laurie Jacobson, M.D.
• Virginia Jaggi
• James Nguyen DMD PS
• Kathi A James, OT
• Colleen Jamieson, ND
• Diane L Jamieson, PH.D.
• Jane H. Yong D.D.S. (Custom Dental Care)

• General Practice Dentistry in Edmonds, WA
• Providers in Edmonds, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.