Chad Ryan Haak, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6823 Issued in AZ

Practice address

3011 S Lindsay Rd
Suite 104
Gilbert, AZ 85295-4332

Phone

(480) 471-8955

NPI assigned

Oct 23, 2006

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Chad Haak DDS PC

  • Customized Equipment (DME)
  • Gilbert, AZ
  • NPI 1588930077
  NPD (past) Authorized official
• Mesa Dental Partners LLC

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1649531658
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1649353301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 S DANTE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122564",
            "telephone_number": "480-600-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S LINDSAY RD",
            "address_2": "SUITE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954332",
            "telephone_number": "480-471-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAK",
        "first_name": "CHAD",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Gyimah, CCC-SLP
• Gynofit MD LLC
• H and a Supportive Services LLC
• H. Matthew Miller D.C P.C.
• H.E.L.P LLC Residential Agency
• Jordan Charline Haas, M.S., SLP -CF
• Patricia Anne Haasis, NNP
• Nicholette Anne Hackney, MS, BCBA, LBA
• Reut Hadash Ben Gad, MD
• Hadi Internal Medicine Associates LLC

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.