Maurice R. Hafernik Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11901 Issued in TX

Practice address

11645 Angus Rd
Suite 10
Austin, TX 78759-4100

Phone

(512) 345-5552

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maury Hafernik Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982752739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 ANGUS RD",
            "address_2": "SUITE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594100",
            "telephone_number": "512-345-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 ANGUS RD",
            "address_2": "SUITE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594100",
            "telephone_number": "512-345-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFERNIK",
        "first_name": "MAURICE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURY",
            "last_name": "HAFERNIK",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Michele Hadorn, FNP-C
• Kimberly Carla Haertl
• John Haest, M.D.
• Ernest A Haeusslein, M.D.
• Adam Christopher Hafemeister, MD
• Barry Hafkin, MD
• Claire Hafner
• Shannon Hafterson
• Julia Kelly Hagan, MD
• Morgan Hagan, MA, CCC-SLP

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.