Individual provider Active NPI

Carla Jones Hauge, DDS

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1275549230
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11051 Issued in MN
Practice address
111 Kellogg Blvd E
Suite 205
Saint Paul, MN 55101-1237
Phone
(651) 224-6234
Fax
(651) 224-6581
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11051 MN Primary

Addresses

Primary practice location

111 Kellogg Blvd E
Suite 205
Saint Paul, MN 55101-1237

Mailing address

111 Kellogg Blvd E
Suite 205
Saint Paul, MN 55101-1237
Phone (651) 224-6234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160114000310 WI Order and Referring Only - DentistPractitioner - Dentist 2769784354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Jones & Hauge Dental General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275549230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KELLOGG BLVD E",
            "address_2": "SUITE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011237",
            "telephone_number": "651-224-6234",
            "fax_number": "651-224-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KELLOGG BLVD E",
            "address_2": "SUITE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011237",
            "telephone_number": "651-224-6234",
            "fax_number": "651-224-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGE",
        "first_name": "CARLA",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.