Active NPI
Eugene Christopher Haag, DDS
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1205856259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5852
- Practice address
- 4444 S 86TH St
Suite 101
Lincoln, NE 68526-9225 - Phone
- (402) 483-7502
- Fax
- (402) 483-4736
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5852 | NE | Primary |
Addresses
Primary practice location
4444 S 86TH St
Suite 101
Lincoln, NE 68526-9225
Mailing address
4444 S 86TH St
Suite 101
Lincoln, NE 68526-9225
Phone (402) 483-7502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43196706300 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5852 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Greens Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Lincoln, NE
- NPI 1568723294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205856259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 S 86TH ST",
"address_2": "SUITE 101",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269225",
"telephone_number": "402-483-7502",
"fax_number": "402-483-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 S 86TH ST",
"address_2": "SUITE 101",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269225",
"telephone_number": "402-483-7502",
"fax_number": "402-483-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAG",
"first_name": "EUGENE",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43196706300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.