Active NPI
Terry Alvin Haas, D.D.S.
- General Practice Dentistry
- Butner, NC
National Provider Identifier
1841337748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5296
- Practice address
- John Umstead Hospital
1003 West 12TH Street
Butner, NC 27509 - Phone
- (919) 575-7392
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5296 | NC | Primary |
Addresses
Primary practice location
John Umstead Hospital
1003 West 12TH Street
Butner, NC 27509
Mailing address
350 N Rock Springs Rd
Wake Forest, NC 27587-2340
Phone (919) 426-6154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5296 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841337748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N ROCK SPRINGS RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872340",
"telephone_number": "919-426-6154",
"fax_number": "919-575-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JOHN UMSTEAD HOSPITAL",
"address_2": "1003 WEST 12TH STREET",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "TERRY",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butner, NC
Sources for this page
- 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.