Mariana Dedeus Haughey, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1856958 Issued in MA

Practice address

5 Hawthorne Dr
Southampton, MA 01073-9473

Phone

(406) 839-3413

NPI assigned

Sep 27, 2013

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

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1497182091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAWTHORNE DR",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739473",
            "telephone_number": "406-839-3413",
            "fax_number": "406-839-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAWTHORNE DR",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739473",
            "telephone_number": "406-839-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHEY",
        "first_name": "MARIANA",
        "middle_name": "DEDEUS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901020553",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1856958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda P Fried, DC
• Michael Jude Glaiel, D.C.
• Beth Gordon, LICSW
• Brieanna Mary Gresh, DMD
• Margaret Harak
• Kelly Bado, O.D.
• Andrew Henry Kowal, RPH
• Nora Lemelin, OTR/L
• Dana M Litturi, D.M.D.
• Richard James McKeown, LICSW, LADCI

• Orthodontics and Dentofacial Orthopedics Dentistry in Southampton, MA
• Providers in Southampton, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.