DR. DOUGLAS HAFNER (NPI# 1912053182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912053182 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS HAFNER |
| Credential | DDS |
| Practice Address |
4200 N Oak Park Ave Chicago IL 60634-1417 |
| Practice Telephone | 7737944000 |
| Practice Fax Number | 7737944046 |
| Mailing Telephone | 7737944000 |
| Mailing Fax Number | 7737944046 |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
4200 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857873 | Craig Whitney Jock | Psychologist | 4200 N Oak Park Ave, Psychology Department, Chicago, IL 60634-1417 | 2005-08-09 |
| 1679710297 | Debra S. Marsico | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1598902116 | Charles Joseph Stiava | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1164622361 | Yetunde Johnson | Psychiatry & Neurology | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-07-25 |
| 1013050178 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1922141084 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1780727842 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1285777342 | Idhs-chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1093858151 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1760525836 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.