Andrea Beth Haseloff, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31630 Issued in TX

Practice address

2940 Stanley Rd Ste 2375
San Antonio, TX 78234-2740

Phone

(210) 295-4095

NPI assigned

Jun 5, 2008

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Beth Sarge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Workshop New Braunfels, PLLC

  dba Ideal Dental Oak Run New Braunfels

  • Dentist
  • New Braunfels, TX
  • NPI 1215475272
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1760641625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 LAURIE MICHELLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782611821",
            "telephone_number": "830-308-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 STANLEY RD STE 2375",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782342740",
            "telephone_number": "210-295-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELOFF",
        "first_name": "ANDREA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SARGE",
            "middle_name": "BETH",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phelicia Marie Harwell
• Ibrahim Ali Hasan
• Syed Nabeel Hasan, OD
• Abigail Kathleen Hasberry, PHD, MED
• C Haselmayer Fayed, PHD
• Ambrielle Hasenauer
• Ashtyn Hasenauer
• William Christopher Hasewinkle, PHARMD
• Zainoor A Hashim, NP
• Lama Hashish, MD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.