NPIMap

Organization Active NPI

Haerr Dentistry P.C.

  • General Practice Dentistry
  • Hayden, CO
National Provider Identifier
1992929202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8443 Issued in CO
Legal business name
HAERR DENTISTRY P.C.
Practice address
150 West Jackson St
Hayden, CO 81639
Phone
(970) 276-3123
Fax
(970) 276-2500
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nathan Adam Haerr, DDS
Title
Owner Dentist
Phone
(970) 276-3123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8443 CO Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8801 CO

Addresses

Primary practice location

150 West Jackson St
Hayden, CO 81639

Mailing address

PO Box 609
Hayden, CO 81639-0609
Phone (970) 276-3123

Other identifiers 3

IdentifierTypeStateIssuer
67330258MedicaidCO
75533731MedicaidCO
94670846MedicaidCO

Other names 1

  • Bear River Dental Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992929202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816390609",
            "telephone_number": "970-276-3123",
            "fax_number": "970-276-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST JACKSON ST",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "81639",
            "telephone_number": "970-276-3123",
            "fax_number": "970-276-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAERR DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAERR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "970-276-3123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8443",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67330258",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75533731",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94670846",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear River Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.