NPIMap

Organization Active NPI

Haase, D.D.S., Inc.

  • Endodontics
  • Columbus, OH
National Provider Identifier
1831240274
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
30013608 Issued in OH
Legal business name
HAASE, D.D.S., INC.
Practice address
4830 Knightsbridge Blvd
Suite L
Columbus, OH 43214-2300
Phone
(614) 450-2234
Fax
(614) 451-4388
NPI assigned
Jan 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Andrew J Haase, D.D.S., M.S.
Title
President
Phone
(614) 459-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 30013608 OH Primary

Addresses

Primary practice location

4830 Knightsbridge Blvd
Suite L
Columbus, OH 43214-2300

Mailing address

4830 Knightsbridge Blvd
Suite L
Columbus, OH 43214-2300
Phone (614) 450-2234

National Provider Directory

National Provider Directory

Locations

4830 Knightsbridge Blvd
Ste L
Columbus, OH 43214
Phone (614) 450-2234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1831240274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE L",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-450-2234",
            "fax_number": "614-451-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE L",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-450-2234",
            "fax_number": "614-451-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAASE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-459-2234",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30013608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.