Ross Alan Haddow, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5708 Issued in WA

Practice address

2121 Madison St
Suite a
Everett, WA 98203-5375

Phone

(425) 353-5854

Fax

(425) 355-7426

NPI assigned

Nov 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

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.

• Heidi Johnson DDS, PLLC

  dba Island View Dental

  • Durable Medical Equipment & Medical Supplies
  • Mukilteo, WA
  • NPI 1932834454
  NPD (past)
• M Etemadi DMD PLLC

  • Dentist
  • Everett, WA
  • NPI 1568332682
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245214634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MADISON ST",
            "address_2": "STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035375",
            "telephone_number": "425-353-5854",
            "fax_number": "425-355-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MADISON ST",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035375",
            "telephone_number": "425-353-5854",
            "fax_number": "425-355-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOW",
        "first_name": "ROSS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ha, ARNP
• Alan O Haakenstad, MD.
• Amanda Marie Habben
• Polly J Haberlin, MD
• Linda Hadaway, AAC, CDP
• Elizabeth Joy Hadley, PA-C
• Tia Danielle Hadnott
• Emily F Hadsall
• Scott Haecker, B.S.
• Joshua Haegele

• General Practice Dentistry in Everett, WA
• Providers in Everett, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.