Olaf J Haerens, MPH, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18349 Issued in TX

Practice address

652 N Houston Ave
Suite 1
New Braunfels, TX 78130-4122

Phone

(830) 624-7300

Fax

(830) 626-3100

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Wunderbar, Inc

  dba Tejas Smiles

  • Voluntary or Charitable Agency
  • New Braunfels, TX
  • NPI 1326203357
  Authorized official Same address or phone

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811040363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 N HOUSTON AVE",
            "address_2": "SUITE 1",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304122",
            "telephone_number": "830-624-7300",
            "fax_number": "830-626-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N HOUSTON AVE",
            "address_2": "SUITE 1",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304122",
            "telephone_number": "830-624-7300",
            "fax_number": "830-626-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERENS",
        "first_name": "OLAF",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MPH, DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H-E-B, LP (HEB Pharmacy #775)
• Kimberly Ha, FNP
• Aaron Cyrus Haag, DDS
• Susan Leigh Haas, OT
• Catharine Hacker, PT, DPT
• Brenda Jane Hagen, RBT
• Benjamin Hall
• Linda A Hall, RD
• Lorna Louise Hall, R.N.
• Mallory Hall, LPC

• General Practice Dentistry in New Braunfels, TX
• Providers in New Braunfels, 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 Jul 8, 2007; 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.