Diane E Haberl DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

6108 Issued in NC

Legal business name

DIANE E HABERL DDS PA

Practice address

747 Brawley School Rd
Mooresville, NC 28117-9122

Phone

(704) 663-3001

Fax

(704) 663-6954

NPI assigned

Nov 25, 2015

Last updated

Mar 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diane E Haberl, DDS, PANPI 1033379409

Title

Dr

Phone

(704) 663-3001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Edith Haberl, DDS PA

  • General Practice Dentistry
  • Mooresville, NC
  • NPI 1033379409
  Authorized official Same address or phone

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1386018562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BRAWLEY SCHOOL RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179122",
            "telephone_number": "704-663-3001",
            "fax_number": "704-663-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BRAWLEY SCHOOL RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179122",
            "telephone_number": "704-663-3001",
            "fax_number": "704-663-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE E HABERL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "HABERL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "704-663-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Digital Health Innovation Learning Lab
• Evelyn Dillard, CADC,CPSS,RCP

• Dentist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.