Individual provider Active NPI

Diana M Haerr, DDS

  • Pediatric Dentistry
  • Washington, PA
National Provider Identifier
1649375817
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS040282 Issued in PA
Practice address
950 Manifold Rd Ste 106
Washington, PA 15301-9602
Phone
(724) 825-4602
Fax
(724) 909-0896
NPI assigned
Sep 13, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS040282 PA Primary

Addresses

Primary practice location

950 Manifold Rd Ste 106
Washington, PA 15301-9602

Mailing address

1758 Meadowcrest Dr
Pittsburgh, PA 15241-1316
Phone (970) 819-1806

Other identifiers 1

IdentifierTypeStateIssuer
1030745930009MedicaidPA

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

LicenseStateTypeSpecialty
DS040282PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Pediatric Dentistry CurrentSince Jan 8, 2023 Accepting new patients

Locations

950 Manifold Rd
Ste 106
Washington, PA 15301
Phone (724) 825-4602

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1649375817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 MEADOWCREST DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411316",
            "telephone_number": "970-819-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MANIFOLD RD STE 106",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019602",
            "telephone_number": "724-825-4602",
            "fax_number": "724-909-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERR",
        "first_name": "DIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS040282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030745930009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.