Eileen Schilling Haeberle, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9319 Issued in KY

Practice address

211 High Point CT
Suite 500
Mt Washington, KY 40047-5528

Phone

(502) 538-2400

Fax

(502) 538-2403

NPI assigned

Mar 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Arrow Dental PLLC

  • Dental Clinic/Center
  • Mt Washington, KY
  • NPI 1497376248
  NPD (past)
• Kentuckiana Pediatric Dentistry

  • Pediatric Dentistry
  • Mt Washington, KY
  • NPI 1851785877
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1659613479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 GRANDVIEW AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073755",
            "telephone_number": "502-645-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGH POINT CT",
            "address_2": "SUITE 500",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400475528",
            "telephone_number": "502-538-2400",
            "fax_number": "502-538-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEBERLE",
        "first_name": "EILEEN",
        "middle_name": "SCHILLING",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9319",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Loraine Gehm, APRN
• Joseph Thomas Geraci, DMD
• Kylan Gill
• Leah D Graves, APRN
• Green Meadows SNF Operations LLC
• Amanda Kaye Hall, LPCA
• Christina Lyn Hall, RRT
• Tara Harding, LPAT, ATR-BC
• Deborah L Hargis, R.PH.
• Rachel Harris, APRN

• All providers in Mt Washington, KY
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.