Individual provider Active NPI

Cam Ha, DDS

  • General Practice Dentistry
  • Roseville, MI
National Provider Identifier
1114586203
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602887 Issued in MI
Practice address
26298 Gratiot Ave
Roseville, MI 48066-3375
Phone
(586) 200-6720
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11325173-9921 UT
General Practice Dentistry 1223G0001X 40980 TX
General Practice Dentistry 1223G0001X 2901602887 MI Primary

Addresses

Primary practice location

26298 Gratiot Ave
Roseville, MI 48066-3375

Mailing address

17367 Kershaw St
Roseville, MI 48066-3345

Other practice location 1

86 MDG, Unit 3215, Ramstein AB
Apo, AE 09094
Phone (315) 784-2108

Other practice location 2

1765 N Town East Blvd Ste 111
Mesquite, TX 75150-4149
Phone (972) 270-7210

Other practice location 3

12227 Lake June Rd Ste 500
Balch Springs, TX 75180-4857
Phone (972) 216-8880

Other identifiers 2

IdentifierTypeStateIssuer
2901602887OtherMISTATEOFMICHIGAN
11325173-9921OtherUTSATE OF UTAH

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

LicenseStateTypeSpecialty
2901602887MIMDGeneral Practice Dentistry
40980TXMDGeneral Practice Dentistry
11325173-9921UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Balch Springs Dental, P.a. General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1114586203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17367 KERSHAW ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26298 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663375",
            "telephone_number": "586-200-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 MDG, Unit 3215, Ramstein AB",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09094",
            "country_code": "US",
            "telephone_number": "315-784-2108",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "1765 N Town East Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751504149",
            "country_code": "US",
            "telephone_number": "972-270-7210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12227 Lake June Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "751804857",
            "country_code": "US",
            "telephone_number": "972-216-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "CAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11325173-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40980",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATEOFMICHIGAN",
            "identifier": "2901602887",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATE OF UTAH",
            "identifier": "11325173-9921",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.