Active NPI
Rachael Hass, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Puyallup, WA
National Provider Identifier
1598419145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE61242337
- Practice address
- 8012 112TH Street CT E Ste 320
Puyallup, WA 98373-7856 - Phone
- (253) 848-2331
- NPI assigned
- Feb 11, 2022
- Last updated
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE61242337 | WA | Primary |
Addresses
Primary practice location
8012 112TH Street CT E Ste 320
Puyallup, WA 98373-7856
Mailing address
29326 233Rd Ave SE
Black Diamond, WA 98010-1230
Phone (253) 736-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61242337 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1598419145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29326 233RD AVE SE",
"city": "BLACK DIAMOND",
"state": "WA",
"postal_code": "980101230",
"telephone_number": "253-736-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 112TH STREET CT E STE 320",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983737856",
"telephone_number": "253-848-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASS",
"first_name": "RACHAEL",
"name_prefix": "Dr.",
"credential": "DMD, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE61242337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.