Active NPI
Joseph Alexander Havig, DMD
- Dentist
- Bossier City, LA
National Provider Identifier
1891355202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6997
- Practice address
- 2494 Airline Dr Ste 100
Bossier City, LA 71111-5841 - Phone
- (318) 317-7808
- NPI assigned
- Jun 18, 2019
- Last updated
- Jun 18, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6997 | LA | Primary |
Addresses
Primary practice location
2494 Airline Dr Ste 100
Bossier City, LA 71111-5841
Mailing address
40092 N Thoroughbred Way
San Tan Valley, AZ 85140-5181
Phone (480) 284-1338
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 |
|---|---|---|---|
| 6997 | LA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agave Dental Pebble Hills PLLC | Dentist | Current | Accepting new patients |
| Agave Dental Care East PLLC | Current | Accepting new patients | |
| Nelson Nunez DMD LLC | Past | Accepting new patients |
Locations
11680 Pebble Hills Blvd
Ste 101
El Paso, TX 79936
Phone (915) 201-2555
1806 McRae Blvd
El Paso, TX 79925
Phone (915) 591-7117
Organizations & group practices 3
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.
-
- General Practice Dentistry
- El Paso, TX
- NPI 1508505140
-
- Dentist
- El Paso, TX
- NPI 1114624905
-
- General Practice Dentistry
- Bossier City, LA
- NPI 1598381469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1891355202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40092 N THOROUGHBRED WAY",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851405181",
"telephone_number": "480-284-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 AIRLINE DR STE 100",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115841",
"telephone_number": "318-317-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVIG",
"first_name": "JOSEPH",
"middle_name": "ALEXANDER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
- Yekisha Harris
- Harry J Mobley MD and Willis-Knighton Medical Center
- Timothy Mark Hart, M.D.
- Timothy Mark Hart Jr., PT
- Amanda Eileen Hathorn, ACNPC-AG
- Hawkins Transportation Services LLC
- Haygood Dental Care, LLC
- Christopher Ryan Haygood I, DDS
- Hays Homecare LLC Dba Options for Senior America (Options for Senior America)
- Hal Hays
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.