Individual provider Active NPI

Joshua Lee Haentges, D.D.S

  • General Practice Dentistry
  • Watkins Glen, NY
National Provider Identifier
1952854036
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059202 Issued in NY
Practice address
703 S Decatur St
Watkins Glen, NY 14891-1614
Phone
(607) 535-4666
Fax
(607) 535-4287
NPI assigned
Jul 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 059202 NY Primary

Addresses

Primary practice location

703 S Decatur St
Watkins Glen, NY 14891-1614

Mailing address

703 S Decatur St
Watkins Glen, NY 14891-1614
Phone (607) 535-4666

Other practice location 1

311 W Church St
Elmira, NY 14901-2601
Phone (607) 733-6825

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

LicenseStateTypeSpecialty
059202NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elmira Family Dentistry P.L.L.C. General Practice CurrentSince Feb 26, 2023 Accepting new patients
Watkins Glen Family Dentistry P.L.L.C. General Practice CurrentSince Feb 26, 2023 Accepting new patients
Alan J Seltzer DMD Dental Associates PC General Practice Past Accepting new patients
Saratoga Dental Care PLLC General Practice PastSince Sep 23, 2024 Accepting new patients
Roman & Ferchaw PLLC Past Accepting new patients

Locations

311 W Church St
Elmira, NY 14901
Phone (607) 733-6825

703 S Decatur St
Watkins Glen, NY 14891
Phone (607) 535-4666

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1952854036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S DECATUR ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911614",
            "telephone_number": "607-535-4666",
            "fax_number": "607-535-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S DECATUR ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911614",
            "telephone_number": "607-535-4666",
            "fax_number": "607-535-4287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W Church St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149012601",
            "country_code": "US",
            "telephone_number": "607-733-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAENTGES",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkins Glen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.