DR. RUDOLF GUSTAV HAHN DMD
NPI 1124122536
Dentist - Periodontics in Chewelah, WA

Q: What is Rudolf Hahn's NPI number?

The NPI number for Rudolf Hahn is 1124122536. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Q: What is Rudolf Hahn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Rudolf Hahn enrolled in Medicare?

No. Rudolf Hahn has opted out of Medicare through October 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Rudolf Hahn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2006Opted out of Medicare · through Oct 28, 2026

616 E. MAIN STREET, CHEWELAH, WA 99109(509) 935-8642(509) 935-4103 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Rudolf Gustav Hahn Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUDOLF GUSTAV HAHN DMD (NPI 1124122536) is an individual periodontics provider in Chewelah, Washington, licensed in Washington (7164) and active in the NPI registry since September 2006. He has opted out of Medicare through October 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124122536

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RUDOLF GUSTAV HAHNCredential: DMD

Location Address616 E. MAIN STREETChewelah, WA 99109

Mailing AddressPo Box 68Cocolalla, ID 83813-0068 · (208) 699-6419

Phone(509) 935-8642

Fax(509) 935-4103

Sole ProprietorYes

Enumeration DateSeptember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124122536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in WA · 7164

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

616 E. MAIN STREET, Chewelah, WA 99109

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rudolf Gustav Hahn Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 28, 2016 through October 28, 2026.

Opt-Out Effective DateOctober 28, 2016

Opt-Out In Effect ThroughOctober 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudolf Hahn's NPI number?

The NPI number for Rudolf Hahn is 1124122536. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Rudolf Hahn located?

Rudolf Hahn practices at 616 E. Main Street, Chewelah, WA 99109. The listed phone number is (509) 935-8642.

What is Rudolf Hahn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Rudolf Hahn enrolled in Medicare?

No. Rudolf Hahn has opted out of Medicare through October 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rudolf Hahn accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Rudolf Hahn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rudolf Hahn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.