James D Haberman Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9658 Issued in WA

Practice address

9529 244TH St SW
Edmonds, WA 98020-6527

Phone

(206) 542-7557

Fax

(206) 546-2214

NPI assigned

May 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 WA

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James D. Haberman, Jr. DDS, PLLC

  • General Practice Dentistry
  • Edmonds, WA
  • NPI 1235777400
  NPD Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467403022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 244TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980206527",
            "telephone_number": "206-542-7557",
            "fax_number": "206-546-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9529 244TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980206527",
            "telephone_number": "206-542-7557",
            "fax_number": "206-546-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Alane Gundel, APRN, AOCNS
• Marla Kay Gunn, RPH
• Jinfeng J Guo, MD
• Dori Taylor Guterson, LICSW, MHP, CMHS
• April Haberman, CD-PIC
• Licha Habttie
• Joel R Hadfield, RPH
• Eleanor Hagey
• Haggen, Inc (Haggen Food & Pharmacy, TOP Food & Drug)
• Marian Hagi-Mayow, RN/BSN

• General Practice Dentistry in Edmonds, WA
• Providers in Edmonds, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.