Individual provider Active NPI

James Joseph Haines, DDS

  • General Practice Dentistry
  • Clare, MI
National Provider Identifier
1942399712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016488 Issued in MI
Practice address
114 W 5TH St
Clare, MI 48617-1415
Phone
(989) 386-3211
Fax
(989) 386-3978
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016488 MI Primary

Addresses

Primary practice location

114 W 5TH St
Clare, MI 48617-1415

Mailing address

114 W 5TH St
Clare, MI 48617-1415
Phone (989) 386-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113001656 MI Order and Referring Only - DentistPractitioner - Dentist 2163724972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016488MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James Haines DDS PLLC General Practice CurrentSince Sep 5, 2023 Accepting new patients

Locations

114 W 5th St
Clare, MI 48617
Phone (989) 386-3211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942399712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 5TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171415",
            "telephone_number": "989-386-3211",
            "fax_number": "989-386-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 5TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171415",
            "telephone_number": "989-386-3211",
            "fax_number": "989-386-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

Verify at the official NPI Registry.