Anneliese Taylor Haws, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-4059 Issued in ID

Practice address

150 2ND St
Melba, ID 83641-5199

Phone

(208) 495-1011

NPI assigned

Apr 16, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Paul E Blaisdell DDS PLLC

  dba Swan Falls Family Dentistry

  • Dental Clinic/Center
  • Kuna, ID
  • NPI 1164210126
  NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1487879292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 S IRON SPRINGS AVE",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341973",
            "telephone_number": "614-506-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 2ND ST",
            "city": "MELBA",
            "state": "ID",
            "postal_code": "836415199",
            "telephone_number": "208-495-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS",
        "first_name": "ANNELIESE",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022307",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Canyon School District Class B 136J
• CRX Health Services LLC (Custom Rx Pharmacy Melba)
• Custom RX LLC (Custom Rx Pharmacy Melba)
• Anastasia Katrina Marisa Deforge
• Shanna Renee Dewey, DOULA
• Jamie Lynn Hendricks, FNP-BC, RN
• Drostan N Orme, DDS
• Revive Recovery
• Anne E Rushing, MSN, MAC, FNP
• Dan L Watt, DDS

• Dentist in Melba, ID
• Providers in Melba, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.