Anastasia Marie Haupt, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019029070 Issued in IL

Practice address

807 Davis St Unit 2011
Evanston, IL 60201-7104

Phone

(208) 251-6098

NPI assigned

Apr 20, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Board of Trustees of the University of Illinois

  • Dentist
  • Chicago, IL
  • NPI 1992873921

  Oral and Maxillofacial Surgery

  NPD (past)
• The Board of Trustees of the University of Illinois

  dba UIC Physician Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1134118649
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790042323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 DAVIS ST UNIT 2011",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602017104",
            "telephone_number": "208-251-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 DAVIS ST UNIT 2011",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602017104",
            "telephone_number": "208-251-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Paulina St Rm 110",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127210",
            "country_code": "US",
            "telephone_number": "312-996-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "ANASTASIA",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019029070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romana Hassan, MD
• Andrew Russell Hatch
• Jordan Lynn Hauck, MS, ATC
• Blair Thomas Haugh
• Megan Haughey
• David Lang Hauser, PH.D.
• Suzanne Nicole Hawley, LCSW
• Ilda Haxhistasa, PHARMD
• Heidi Johnston Hayden, LCPC
• Robert Lawrence Hayden, PHD

• Oral and Maxillofacial Surgery (Dentist) in Evanston, IL
• Providers in Evanston, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

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