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Dr. David C Haderlie , DDS

Dentist - Endodontics β€’ Moses Lake, WA

Active NPI 1528296399 Individual Practitioner Male Practitioner
Practice location in NPPES

605 S Coolidge St
Moses Lake, WA 988371873

Call 5097650674 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

605 S Coolidge St

Moses Lake, WA 988371873

Telephone 5097650674
Organization at the Same NPPES Address or Phone
Moses Lake Community Health Center Facility NPI 1699862813

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

13 standardized 30-day fills in 2017

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$59 in 2017

The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $29.00 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Moses Lake and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Haderlie are from 2017.

1 active clinicians are listed under Dentist - Endodontics with a practice address in Moses Lake, WA (224 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2017), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $29.00.

Manufacturer Payment Nature Product Type Amount ($)
3M Company
Food and Beverage
Cash or cash equivalent
3M Relyx General $29.00

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2017.

CMS Part D Β· Data Year 2017
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 13 36 $58.94 12

Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-04
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES WA DE60720894

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES ID D4237

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.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DE60720894

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES WA 60720894

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2016334 (WA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Tyson Andelin

Physician Assistant

NPI 1508343732
Eric Aronsohn , PA-C

Physician Assistant - Medical

NPI 1336229152

Physician Assistant (Certified)

Dr. Cameron Beck , MD

Family Medicine

NPI 1154642023

Doctor of Medicine (M.D.)

Shanna Bellamy , ARNP-CNP

Nurse Practitioner - Family

NPI 1508215997

ARNPCNP

NPI 1487957403

Registered Pharmacist

NPI 1730188616

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location August 04, 2022

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371873 (Tel: 5097650674)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Dentist (license number reported to NPPES: ID D4237)

πŸ“
Updated Practice Location June 27, 2019

Registered at 264 FARMINGTON AVENUE, FARMINGTON, CT 060301893 (Tel: 8606792207)

πŸ“
Updated Business Mailing Address June 27, 2019

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060300002

βœ…
NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 27, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

πŸ“
Updated Business Mailing Address July 27, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

πŸ‘€
Provider Name / Credentials Updated July 27, 2017

Recorded as DAVID HADERLIE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Dentist (license number reported to NPPES: ID D4237)

πŸ“
Updated Practice Location January 18, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

πŸ“
Updated Business Mailing Address January 18, 2017

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Dentist (license number reported to NPPES: WA DE60720894)

βœ…
NPI Profile Active June 30, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 30, 2009

Registered at 2033 E SUMMERSWEET DR, BOISE, ID 837166695 (Tel: 2083310182)

πŸ“
Business Mailing Address (Initial Record) June 30, 2009

Registered at 2033 E SUMMERSWEET DR, BOISE, ID 837166695 (Tel: 2083310182)

πŸ‘€
Provider Name / Credentials (Initial Record) June 30, 2009

Recorded as DAVID HADERLIE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2009

Dentist (license number reported to NPPES: ID D4237)

🟒
Initial NPI Registration & Enumeration June 30, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528296399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2009
Last Update: August 04, 2022
Sole Proprietor: No

Mailing Address

263 Farmington Ave

Farmington, CT 060300002

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.