Jenny Y Ha, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

101420 Issued in CA

Practice address

5225 Canyon Crest Dr Ste 309
Riverside, CA 92507-6324

Phone

(951) 222-2240

NPI assigned

Jul 30, 2009

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Han D.D.S., P.C.

  dba Pediatric Dental Care

  • Pediatric Dentistry
  • Fairfax, VA
  • NPI 1982875316
  NPD (past)
• PDC Pediatric Dental Care PLLC

  • Dentist
  • Fairfax, VA
  • NPI 1700547932
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1114158748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31560 RANCHO PUEBLO RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR STE 309",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076324",
            "telephone_number": "951-222-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "JENNY",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H.E.a.L.S. Inc
• H3 Foundation
• Ha Chiropractic, Corp
• Christopher Ha, PHARM.D
• Hongphuc Phu Ha, DO
• Lewis D. Ha, MD
• Nicole-Nincho Phu Ha, O.D.
• John Richard Haalboom Jr.
• Gina Habeeb
• Dina Habib

• Pediatric Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.