Kate Haave, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0812 Issued in SD

Legal business name

KATE HAAVE, DDS, PC

Doing business as

dba Wilson Park Dental

Practice address

807 Saint Andrew St
Rapid City, SD 57701-4526

Phone

(605) 343-9352

NPI assigned

Jan 10, 2013

Last updated

Jan 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris M Maltaverne

Title

Office Manager

Phone

(605) 343-9352

Specialties & licenses 1

Addresses

Other names 1

• dba Wilson Park Dental Doing business as

Locations

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1871830851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SAINT ANDREW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014526",
            "telephone_number": "605-343-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SAINT ANDREW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014526",
            "telephone_number": "605-343-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE HAAVE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "MALTAVERNE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-343-9352"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Wilson Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Kapsch, M.D.
• Molli Karen, M.S.
• Bill J Kassube
• Abigail Elizabeth Kasten, OD
• Amy Kastner, CNP
• Kathryn a Barrett MD PC
• Ashley Elizabeth Kauffman, D.C.
• Shelsta Kaufmann
• Lisa Kautzman, CNP RN
• Trevor Kautzman

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.