Organization Active NPI

Robert S Haeger DDS, Ms, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maple Valley, WA
National Provider Identifier
1487590428
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ROBERT S HAEGER DDS, MS, PS
Practice address
22443 SE 240TH St Ste 100
Maple Valley, WA 98038-5846
Phone
(425) 433-8080
NPI assigned
Apr 23, 2026
Organization subpart
Yes
Parent organization
ROBERT S HAEGER DDS, MS, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Cassandra Wieth
Title
Director, Payor Relations
Phone
(623) 267-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

22443 SE 240TH St Ste 100
Maple Valley, WA 98038-5846

Mailing address

22443 SE 240TH St Ste 100
Maple Valley, WA 98038-5846
Phone (425) 433-8080

National Provider Directory

National Provider Directory
Tax ID family
Robert S Haeger DDS Ms PS2 organizations share this tax ID, including this one
Part of
Robert S Haeger DDS Ms PS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22443 SE 240th St
Ste 100
Maple Valley, WA 98038
Phone (425) 433-8080

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1487590428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST STE 100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385846",
            "telephone_number": "425-433-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST STE 100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385846",
            "telephone_number": "425-433-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S HAEGER DDS, MS, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT S HAEGER DDS, MS, PS",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR, PAYOR RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.