Individual provider Active NPI

Austin James Haught, DMD

  • Dentist
  • Encinitas, CA
National Provider Identifier
1245633676
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63545 Issued in CA
Practice address
700 Garden View CT Ste 201
Encinitas, CA 92024-2480
Phone
(760) 479-9898
NPI assigned
Sep 30, 2014
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63545 CA Primary

Addresses

Primary practice location

700 Garden View CT Ste 201
Encinitas, CA 92024-2480

Mailing address

538 Rancho del Cerro
Fallbrook, CA 92028-9475
Phone (760) 815-8543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915003558 CA Order and Referring Only - DentistPractitioner - Dentist 5294042750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63545CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg McElroy DDS Inc Dentist CurrentSince Oct 23, 2022 Accepting new patients
Jadali-Araghi and Nosti Dental Corporation Past Accepting new patients

Locations

700 Garden View Ct
Ste 201
Encinitas, CA 92024
Phone (760) 479-9898

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1245633676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 RANCHO DEL CERRO",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289475",
            "telephone_number": "760-815-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242480",
            "telephone_number": "760-479-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHT",
        "first_name": "AUSTIN",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.