Paul Allen Hauge, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001408-015 Issued in WI

Practice address

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

Phone

(715) 646-2161

Fax

(715) 646-2023

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paul a. Hauge, DDS, LTD

  • General Practice Dentistry
  • Centuria, WI
  • NPI 1699821470
  NPD (past) Authorized official
• Georgeann C. Vargas DDS, LTD

  • Dental Clinic/Center
  • Centuria, WI
  • NPI 1396104097
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710039581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 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": {
        "last_name": "HAUGE",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001408-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33645700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel C Clark, DDS
• Morgan Clemenson
• Christian Daniels, DDS
• Alysia Mae Fisher, RDH
• Georgeann C. Vargas DDS, LTD
• Kindred Spirits Home Health Agency LLC
• Paul a. Hauge, DDS, LTD
• Amanda Claire Rowles, RN
• Valley View Vision SC
• Georgeann Vargas, D.D.S.

• General Practice Dentistry in Centuria, WI
• Providers in Centuria, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.