Jeffrey Francis Haas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009472 Issued in IN

Practice address

8933 White Oak Ave
Munster, IN 46321

Phone

(219) 838-7703

Fax

(219) 838-7797

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• All Smiles Munster

  • Dental Clinic/Center
  • Munster, IN
  • NPI 1457917163
  NPD (past)
• Beacon Behavioral Pediatric Clinic LLC

  dba Beacon Behavioral Pediatrics

  • Primary Care Clinic/Center
  • Munster, IN
  • NPI 1497453252
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912082058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BROCKTON PL",
            "city": "VALPRAISO",
            "state": "IN",
            "postal_code": "46385",
            "telephone_number": "219-531-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8933 WHITE OAK AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-838-7703",
            "fax_number": "219-838-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "JEFFREY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gustaitis, M.D.
• Mary Lou Guthrie, RN
• Anastasia Gutierrez
• H Alan Jones D O Inc.
• Catherine Louise Haas, DDS
• Richard Charles Haas, DDS
• Naureen Habib, PT, DPT, MHS
• Sahar Halabi, M.D
• Shadi Halabi, MD, MPH
• Hannah Halewicz, ARNP

• General Practice Dentistry in Munster, IN
• Providers in Munster, IN by specialty
• General Practice Dentistry in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.