DR. GORDON ELWOOD HAAG JR. D.D.S.
NPI 1215059837
Dentist - General Practice in Fullerton, CA

Q: What is Gordon Haag's NPI number?

The NPI number for Gordon Haag is 1215059837. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Gordon Haag's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Haag was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 April 04, 2007PECOS Enrolled

301 W BASTANCHURY RD, STE.#260, FULLERTON, CA 92835(714) 879-4910(714) 879-5563 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gordon Elwood Haag Jr. D.d.s. NPPES

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

DR. GORDON ELWOOD HAAG JR. D.D.S. (NPI 1215059837) is an individual general practice provider in Fullerton, California, licensed in California (27292) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215059837

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GORDON ELWOOD HAAG JR.Credential: D.D.S.

Location Address301 W BASTANCHURY RD, STE.#260Fullerton, CA 92835-3419

Mailing Address301 W Bastanchury Rd, Ste.#260Fullerton, CA 92835-3419 · (714) 879-4910 · Fax (714) 879-5563

Phone(714) 879-4910

Fax(714) 879-5563

Sole ProprietorNo

Enumeration DateApril 4, 2007

Last NPPES UpdateJanuary 10, 2012

✔ NPI 1215059837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 27292

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

301 W BASTANCHURY RD, Fullerton, CA 92835

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Elwood Haag Jr. D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN D. ZDRAL, M.D., INC.

Ophthalmology

301 W BASTANCHURY RD, SUITE 10
FULLERTON, CA 92835

Orange County (714) 879-7372

DR. HELIA ERAGI D.O.

Dermatology

301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835

Orange County (714) 879-9936

THIEN PHUC NGUYEN D.D.S.

Dentist (Endodontics)

301 W BASTANCHURY RD, SUITE 110
FULLERTON, CA 92835

Orange County (714) 526-9214

QUINT SKIPTON P.A.-C

Physician Assistant

301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835

Orange County (714) 879-9936

ADRIANA LAZE R.N.

Registered Nurse

301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835

Orange County (714) 879-9936

DR. SEAN DAVID ADREAN M.D.

Ophthalmology (Retina Specialist)

301 W BASTANCHURY RD, 285
FULLERTON, CA 92835

Orange County (714) 738-4620

CHARLES E. GRONCY, MD INC

Allergy & Immunology (Allergy)

301 W BASTANCHURY RD, SUITE 25
FULLERTON, CA 92835

Orange County (714) 680-6220

DR. CHARLES COONAN STREIT MD

Urology

301 W BASTANCHURY RD, # 180
FULLERTON, CA 92835

Orange County (714) 870-5970

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 Gordon Haag's NPI number?

The NPI number for Gordon Haag is 1215059837. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Gordon Haag located?

Gordon Haag practices at 301 W Bastanchury Rd Ste.#260, Fullerton, CA 92835. The listed phone number is (714) 879-4910.

What is Gordon Haag's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gordon Haag enrolled in Medicare?

Yes. Gordon Haag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gordon Haag was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.