Individual provider Active NPI

William Robert Haun Sr., D.D.S.

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1316966872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04425 Issued in VA
Practice address
4346 Starkey Rd Ste 4
Roanoke, VA 24018-0605
Phone
(540) 774-7767
Fax
(540) 774-0945
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 04425 VA Primary

Addresses

Primary practice location

4346 Starkey Rd Ste 4
Roanoke, VA 24018-0605

Mailing address

4346 Starkey Rd Ste 4
Roanoke, VA 24018-0605
Phone (540) 774-7767

Other names 1

  • Dr. William Robert Haun Sr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160412001103 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880992692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04425VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316966872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 4",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-774-7767",
            "fax_number": "540-774-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 4",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-774-7767",
            "fax_number": "540-774-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUN",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "HAUN",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.