Alan Haussermann

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ALAN HAUSSERMANN

Practice address

919 W Kirby Ave
Champaign, IL 61821-5121

Phone

(217) 359-0574

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan W. Haussermann, D.D.S.NPI 1821143793

Title

General Dentistry

Phone

(217) 359-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Haussermann II, DDS

  • General Practice Dentistry
  • Champaign, IL
  • NPI 1821143793
  Authorized official Same address or phone

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1740450386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W KIRBY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215121",
            "telephone_number": "217-359-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W KIRBY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215121",
            "telephone_number": "217-359-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN HAUSSERMANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HAUSSERMANN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "217-359-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002155",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles Erik Airla
• Kwanesha Aker, PHLEBOTOMIST
• Whitney Akhtar
• Saad Al-Kadhi, M.D.
• Thair Al-Saqri
• Jodi M Albert, JODI M ALBERT
• Cesar Raul Alburez-Sosa, DDS
• Nelly Cristina Alcala
• Dua Aldasouqi, MA, RDN
• Kate Naomi Aldridge

• General Practice Dentistry in Champaign, IL
• Providers in Champaign, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.