RUSSELL E HAAG D.D.S.
NPI 1366449175
Dentist - General Practice in San Diego, CA

Active since July 07, 2005Opted out of Medicare · through Apr 29, 2028
3805 CLAIREMONT DR, SAN DIEGO, CA 92117(858) 278-8434 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell E Haag D.d.s. NPPES

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

RUSSELL E HAAG D.D.S. (NPI 1366449175) is an individual general practice provider in San Diego, California, licensed in California (22224) and active in the NPI registry since July 2005. He has opted out of Medicare through April 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366449175
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRUSSELL E HAAGCredential: D.D.S.
Location Address3805 CLAIREMONT DRSan Diego, CA 92117-5832
Mailing Address3805 Clairemont DrSan Diego, CA 92117-5832 · (858) 278-8434
Sole ProprietorYes
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1366449175 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 · 22224
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.
3805 CLAIREMONT DR, San Diego, CA 92117

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Russell E Haag D.d.s. 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 April 29, 2016 through April 29, 2028.

Opt-Out Effective DateApril 29, 2016
Opt-Out In Effect ThroughApril 29, 2028Opt-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 92117 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

Dentist (Periodontics)
3805 CLAIREMONT DR
SAN DIEGO, CA 92117
Dentist
3805 CLAIREMONT DR, SUITE 1
SAN DIEGO, CA 92117

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 Russell Haag's NPI number?

The NPI number for Russell Haag is 1366449175. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Russell Haag located?

Russell Haag practices at 3805 Clairemont Dr, San Diego, CA 92117. The listed phone number is (858) 278-8434.

What is Russell Haag's specialty?

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

Is Russell Haag enrolled in Medicare?

No. Russell Haag has opted out of Medicare through April 29, 2028. 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.

When was this NPI record last updated?

The NPPES record for Russell Haag 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.