DR. BRIAN DAVID HAEUSSNER D.M.D.
NPI 1295968832
Dentist - General Practice in Orange Park, FL

Active since August 31, 2009PECOS Enrolled
1409 KINGSLEY AVE, #11, ORANGE PARK, FL 32073(904) 264-2483(904) 264-0474 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian David Haeussner D.m.d. NPPES

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

DR. BRIAN DAVID HAEUSSNER D.M.D. (NPI 1295968832) is an individual general practice provider in Orange Park, Florida, licensed in Florida (DN 18048) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295968832
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN DAVID HAEUSSNERCredential: D.M.D.
Location Address1409 KINGSLEY AVE, #11Orange Park, FL 32073-4562
Mailing Address1409 Kingsley Ave, #11Orange Park, FL 32073-4562 · (904) 264-2483 · Fax (904) 264-0474
Fax(904) 264-0474
Sole ProprietorNo
Enumeration DateAugust 31, 2009
Last NPPES UpdateJune 21, 2010
NPI 1295968832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN 18048
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.
1409 KINGSLEY AVE, Orange Park, FL 32073

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. Brian David Haeussner D.m.d. 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 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Physician Assistant (Medical)
1409 KINGSLEY AVE, SUITE 6A
ORANGE PARK, FL 32073
Occupational Therapist (Hand)
1409 KINGSLEY AVE, SUITE 6B
ORANGE PARK, FL 32073
Dentist (General Practice)
1409 KINGSLEY AVE, BLDG. #11
ORANGE PARK, FL 32073
Massage Therapist
1409 KINGSLEY AVE
ORANGE PARK, FL 32073
Physical Therapy Assistant
1409 KINGSLEY AVE
ORANGE PARK, FL 32073
Psychiatry & Neurology (Psychiatry)
1409 KINGSLEY AVE, STE 9E
ORANGE PARK, FL 32073
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1409 KINGSLEY AVE, SUITE 1D
ORANGE PARK, FL 32073
Occupational Therapist
1409 KINGSLEY AVE
ORANGE PARK, FL 32073

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 Brian Haeussner's NPI number?

The NPI number for Brian Haeussner is 1295968832. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Brian Haeussner located?

Brian Haeussner practices at 1409 Kingsley Ave #11, Orange Park, FL 32073. The listed phone number is (904) 264-2483.

What is Brian Haeussner's specialty?

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

Is Brian Haeussner enrolled in Medicare?

Yes. Brian Haeussner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Haeussner was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.