Individual provider Active NPI

Larry Travis Haws, DDS

  • Dentist
  • Castle Rock, CO
National Provider Identifier
1295067452
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9813 Issued in CO
Practice address
858 W. Happy Canyon Rd #135
Castle Rock, CO 80108
Phone
(303) 688-3800
Fax
(303) 688-3999
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9813 CO Primary

Addresses

Primary practice location

858 W. Happy Canyon Rd #135
Castle Rock, CO 80108

Mailing address

858 W. Happy Canyon Rd #135
Castle Rock, CO 80108
Phone (303) 688-3800

Other practice location 1

727 Simms St
Golden, CO 80401-4792
Phone (303) 232-1016

Other identifiers 1

IdentifierTypeStateIssuer
1251538MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9813COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sayers Dental PC Dentist Past Accepting new patients
High Forest Dental PLLC PastSince Sep 29, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1295067452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 W. HAPPY CANYON RD #135",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "303-688-3800",
            "fax_number": "303-688-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 W. HAPPY CANYON RD #135",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "303-688-3800",
            "fax_number": "303-688-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Simms St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804014792",
            "country_code": "US",
            "telephone_number": "303-232-1016",
            "fax_number": "303-232-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWS",
        "first_name": "LARRY",
        "middle_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1251538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.