Charles Allen Hauge, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

600143315 Issued in WI

Practice address

2921 Landmark PL Ste 100
Madison, WI 53713-4248

Phone

(608) 274-0770

NPI assigned

Apr 2, 2020

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 19, 2024 through Jul 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madison Oral & Maxillofacial Surgeons SC

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1144261199
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1487283404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUNSET CIR",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251873",
            "telephone_number": "920-210-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-274-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGE",
        "first_name": "CHARLES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "600143315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B. Hathaway, MD
• Luke R Hattenhauer, CRNA
• Michael T Haubenschild, M.D.
• Emily R Hauck, PHD
• Kathryn Lee Haug, COTA
• Erin Cole Hauge, DDS
• Kellie Marie Haugen, SLP
• Victor M Haughton, MD
• Jean Campbell Haughwout, M.D.
• Joanne Marie Haun

• Oral and Maxillofacial Surgery (Dentist) in Madison, WI
• Providers in Madison, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.