DR. CHARLES RICHARD HAZEN (NPI# 1992877385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877385 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RICHARD HAZEN |
| Credential | DDS |
| Practice Address |
131 1st Ave. South Haines AK 99827-1529 |
| Mailing Address |
Po Box 1529 131 1st Ave. South Haines AK 99827-1529 |
| Practice Telephone | 9077666372 |
| Practice Fax Number | 9077662581 |
| Mailing Telephone | 9077666372 |
| Mailing Fax Number | 9077662581 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DEN D 541 | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290713 | Charles Patrick Hazen | Physical Medicine & Rehabilitation | 1403 Lomita Blvd, 2nd Floor, Harbor City, CA 90710-2076 | 2010-07-19 |
| Street Address |
131 1ST AVE. SOUTH |
| City | HAINES |
| State | AK |
| Zip Code | 99827-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431329 | Southeast Ot LLC | Occupational Therapist | 206 Piedad Road, Haines, AK 99827 | 2019-01-15 |
| 1922540335 | Hannah Blilie | Community Health Worker | 216 Dalton St, Suite 102, Haines, AK 99827 | 2016-11-16 |
| 1942669361 | Haines Volunteer Fire Department | Ambulance | 217 Haines Highway, Haines, AK 99827 | 2016-02-12 |
| 1295193472 | Ryan Salmon | Occupational Therapist | 79 Chilkat Ave, Haines, AK 99827 | 2016-02-03 |
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| 1992121248 | Nicole Holm | Registered Nurse | 131 First Ave, Haines, AK 99827 | 2014-03-11 |
| 1720416886 | Bodyiq Physical Therapy and Yoga | Clinic/Center | 322 Bartlett Blvd, Haines, AK 99827 | 2013-10-28 |
| 1609127448 | Margaret Haigh Sebens | Speech-Language Pathologist | 48 Barnett Dr. East, Haines, AK 99827 | 2012-09-19 |
| 1023349701 | Heidi Rose Robichaud | Social Worker | 55 Portage St, Haines, AK 99827 | 2010-01-20 |
| 1306173752 | South East Alaska Regional Health Consortium | Clinic/Center | 37 Chilkat Ave., Klukwan, AK 99827 | 2009-11-05 |
| Find all providers in zip 99827 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1255837720 | Joseph Robert Sem | Dentist | 1000 Greg Kruschek Ave, Nome, AK 99762-9976 | 2018-04-03 |
| 1770847642 | Roseann Marie Dameron | Dentist | 1717 West Cowles Street, Fairbanks, AK 99701-4803 | 2012-06-26 |
| 1720356520 | Amanda Shavings | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2011-12-07 |
| 1194018747 | Marc Desjarlais | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2011-05-16 |
| 1609031285 | Andrew James Wappett | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2008-07-23 |
| 1497957278 | Maniilaq Association | Dentist | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-04 |
| 1437233277 | Lucia Helena Nascimento | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-10-25 |
| 1255362901 | Michael Richard Kwasinski | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2006-07-05 |
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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.