Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932782703 Individual Practitioner Male Practitioner

Christopher John Haas

Dentist - Pediatric Dentistry • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Christopher Haas is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in O Fallon, IL. Practice services are available at 4945 STONE FALLS CTR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4945 Stone Falls Ctr Ste B

O Fallon, IL 622697801

Telephone 6186220212
Associated Practice Facility / Clinic
🏢 Drs Selberg & Rice Pllc Facility NPI 1710450754

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
3 Specialists

Practicing in O Fallon, IL (263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-26
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License IL 019034044

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License IL 019-034044

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License IL 019.034044

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kevin Beyersdorfer , DDS

Dentist - Pediatric Dentistry

NPI 1295814002

Doctor of Dental Surgery

Dr. Gerusa Mello-Anderson , DDS

Dentist - Pediatric Dentistry

NPI 1790871721

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 26, 2023

Registered at 4945 STONE FALLS CTR STE B, O FALLON, IL 622697801 (Tel: 6186220212)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2023

Dentist (License #019-034044 in IL)

NPI Profile Active April 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2021

Registered at 3320 RUTGER ST, SAINT LOUIS, MO 631041122 (Tel: 3149777336)

📍
Updated Business Mailing Address April 29, 2021

Registered at 3 WIMBLEDON CT, EDWARDSVILLE, IL 620253146 (Tel: 6189783522)

👤
Provider Name / Credentials Updated April 29, 2021

Recorded as CHRISTOPHER HAAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932782703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2021
Last Update: September 26, 2023
Sole Proprietor: Yes

Mailing Address

3 Wimbledon Ct

Edwardsville, IL 620253146

Phone: 6189783522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.