Rudolf Gustav Hahn, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7164 Issued in WA

Practice address

616 E. Main Street
Chewelah, WA 99109

Phone

(509) 935-8642

Fax

(509) 935-4103

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 28, 2016 through Oct 28, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel J Hughes, DDS. PS

  • Dental Clinic/Center
  • Chewelah, WA
  • NPI 1235075060
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124122536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "COCOLALLA",
            "state": "ID",
            "postal_code": "838130068",
            "telephone_number": "208-699-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E. MAIN STREET",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "99109",
            "telephone_number": "509-935-8642",
            "fax_number": "509-935-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "RUDOLF",
        "middle_name": "GUSTAV",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "7164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Garcia, D.D.S.
• Cassidy Gardner, M.S. CCC-SLP
• Jennifer Gear, RN
• Tabitha Kay Gear, RN
• Quinn Laurel Alexandra Gudgel
• Haslam Chiropractic PLLC
• Haslam Chiropractic PLLC
• Bradley David Haslam, D.C.
• Christine McGlinchy Hayman, RPH
• Nicole Marie Haywood, LMP

• Periodontics in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.