John Roger Haserick Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4489 Issued in CT

Practice address

24 Battle St
Somers, CT 06071-1629

Phone

(860) 749-6088

Fax

(860) 749-6078

NPI assigned

Sep 16, 2008

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2008.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1285883041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BATTLE ST",
            "address_2": "PO BOX 817",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060710817",
            "telephone_number": "860-749-6088",
            "fax_number": "860-749-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BATTLE ST",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711629",
            "telephone_number": "860-749-6088",
            "fax_number": "860-749-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASERICK",
        "first_name": "JOHN",
        "middle_name": "ROGER",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Gile, LCSW
• Carolyn Constance Greenfield
• Kari Ann Guerette, RPH
• Jill V. Haga, MSW, LPC
• Shawna Lynne Harmon, D.D.S.
• Stacey Susienka Hayward, APRN
• James P. Fitzgerald
• Linda Mary Jordan-Parker, ED.D.
• Emily Kingsbury, COTA/L
• Chatchai Kokar, MD

• All providers in Somers, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.