NPIMap

Organization Active NPI

Paul a. Hauge, DDS, LTD

  • General Practice Dentistry
  • Centuria, WI
National Provider Identifier
1699821470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001408 Issued in WI
Legal business name
PAUL A. HAUGE, DDS, LTD
Practice address
601 6TH St Hwy 35
Centuria, WI 54824-0459
Phone
(715) 646-2161
Fax
(715) 646-2023
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Allen Hauge, DDSNPI 1710039581
Title
Owner
Phone
(715) 646-2161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5001408 WI Primary

Addresses

Primary practice location

601 6TH St Hwy 35
Centuria, WI 54824-0459

Mailing address

601 6TH St Hwy 35
P O Box 459
Centuria, WI 54824-0459
Phone (715) 646-2161

Other identifiers 1

IdentifierTypeStateIssuer
38390000MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699821470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 6TH ST HWY 35",
            "address_2": "P O BOX 459",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "548240459",
            "telephone_number": "715-646-2161",
            "fax_number": "715-646-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 6TH ST HWY 35",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "548240459",
            "telephone_number": "715-646-2161",
            "fax_number": "715-646-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. HAUGE, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-646-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38390000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centuria, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.