Walter Dan Hauser, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3261 Issued in ID

Practice address

4603 Skyway St., Suite 101
Caldwell, ID 83605

Phone

(208) 454-3114

Fax

(208) 454-3173

NPI assigned

Aug 18, 2006

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1699889733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W. DAN HAUSER",
            "address_2": "4603 SKYWAY ST., SUITE 101",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-454-3114",
            "fax_number": "208-454-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 SKYWAY ST., SUITE 101",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-454-3114",
            "fax_number": "208-454-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "WALTER",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805741000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan W. Hardy, M.D.
• Myrna Lou Harrington, O.T.
• Camille Elizabeth Harris, DPM
• Wade Harris, MD
• Elizabeth Hartman, CPM. LM
• Leslie Annette Havrilak
• Carrie Hawkins, HIS
• Rulin J Hawks, P.T.
• Brook Heath, LCSW
• Heathers Holistics

• General Practice Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.