Mark Aaron Haskell, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D8417 Issued in OR

Practice address

146 SW 2ND Ave
Canby, OR 97013-4152

Phone

(503) 266-5596

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Beckley Family Dental Group, PC

  • Dental Clinic/Center
  • Canby, OR
  • NPI 1730880675
  NPD
• David H Gisborne, DMD, PC

  • Dentist
  • Canby, OR
  • NPI 1023128055
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1427072438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134152",
            "telephone_number": "503-266-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134152",
            "telephone_number": "503-266-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "MARK",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Harman, B.A.
• Karen Gaye Harris, DO
• Christine Marie Harrison-Beard, OTR/L
• Hartwell Chiropractic and Wellness Center P.C.
• Natasha Harwood, SLP
• Health Practitioner Clinic LLC
• Ashley Heath, M.S., SLP
• Irene Sanae Higashi-Breshears
• Holly Street Dental, LLC
• Katherine Holly

• Dentist in Canby, OR
• Providers in Canby, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.