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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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: July 19, 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.