Active NPI
Brian R Haber, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Phoenixville, PA
National Provider Identifier
1669493441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DS019424L
- Practice address
- 660 Valley Forge Rd
Phoenixville, PA 19460 - Phone
- (610) 935-0840
- Fax
- (610) 935-2025
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS019424L | PA | Primary |
Addresses
Primary practice location
660 Valley Forge Rd
Phoenixville, PA 19460
Mailing address
660 Valley Forge Rd
Phoenixville, PA 19460
Phone (610) 935-0840
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Oral & Maxillofacial Surgical Associates | Past | Accepting new patients | |
| Penna Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Brian R Haber DDS & Joseph a Ilacqua DDS PC | Oral & Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Norristown, PA
- NPI 1093732000
-
- Oral and Maxillofacial Surgery (Dentist)
- Norristown, PA
- NPI 1760792766
-
- Oral and Maxillofacial Surgery (Dentist)
- Bryn Mawr, PA
- NPI 1790786317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1669493441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 VALLEY FORGE RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "19460",
"telephone_number": "610-935-0840",
"fax_number": "610-935-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 VALLEY FORGE RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "19460",
"telephone_number": "610-935-0840",
"fax_number": "610-935-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABER",
"first_name": "BRIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "PA",
"license": "DS019424L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.