NPIMap

Organization Active NPI

Kaitlin Haag DDS PC

  • Dentist
  • MC Cook, NE
National Provider Identifier
1376940296
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KAITLIN HAAG DDS PC
Practice address
2009 W J St
MC Cook, NE 69001-3090
Phone
(308) 345-2273
Fax
(308) 345-2750
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dr. Kaitlin HaagNPI 1275820037
Title
Owner
Phone
(308) 350-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2009 W J St
MC Cook, NE 69001-3090

Mailing address

2009 W J St
MC Cook, NE 69001-3090
Phone (308) 345-2273

Other names 1

  • Southwest Nebraska Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2009 W J St
McCook, NE 69001
Phone (308) 345-2273

411 W 5th St
McCook, NE 69001
Phone (308) 345-1510

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1376940296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 W J ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013090",
            "telephone_number": "308-345-2273",
            "fax_number": "308-345-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 W J ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013090",
            "telephone_number": "308-345-2273",
            "fax_number": "308-345-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLIN HAAG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-350-2778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Nebraska Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Cook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.