DR. GRIFFITH ALLEN HAEGGQUIST DDS
NPI 1760443105
Dentist - Pediatric Dentistry in Phoenix, AZ

Q: What is Griffith Haeggquist's NPI number?

The NPI number for Griffith Haeggquist is 1760443105. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Griffith Haeggquist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 28, 2006PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 200-5383 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Griffith Allen Haeggquist Dds NPPES

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

DR. GRIFFITH ALLEN HAEGGQUIST DDS (NPI 1760443105) is an individual pediatric dentistry provider in Phoenix, Arizona, licensed in Arizona (D5062) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760443105

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. GRIFFITH ALLEN HAEGGQUISTCredential: DDS

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200 · Fax (602) 200-5383

Phone(602) 263-1200

Fax(602) 200-5383

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateNovember 13, 2017

✔ NPI 1760443105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in AZ · D5062

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D5062 (AZ)

4212 N 16TH ST, Phoenix, AZ 85016

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Other Identifiers 1

Medicaid476699AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Griffith Allen Haeggquist Dds 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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)