Individual provider Active NPI

William Richard Haught, DDS

  • Dentist
  • Tulsa, OK
National Provider Identifier
1699794172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3164 Issued in OK
Practice address
6716 E Pine St
Tulsa, OK 74115-5653
Phone
(918) 836-6884
Fax
(918) 838-7275
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3164 OK Primary

Addresses

Primary practice location

6716 E Pine St
Tulsa, OK 74115-5653

Mailing address

6716 E Pine St
Tulsa, OK 74115-5653
Phone (918) 836-6884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20150429001628 OK Order and Referring Only - DentistPractitioner - Dentist 7517286347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3164OKMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699794172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741155653",
            "telephone_number": "918-836-6884",
            "fax_number": "918-838-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741155653",
            "telephone_number": "918-836-6884",
            "fax_number": "918-838-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHT",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.