Active NPI
Cam Ha, DDS
- General Practice Dentistry
- Roseville, MI
National Provider Identifier
1114586203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901602887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901602887 | Other | MI | STATEOFMICHIGAN |
| 11325173-9921 | Other | UT | SATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901602887 | MI | MD | General Practice Dentistry |
| 40980 | TX | MD | General Practice Dentistry |
| 11325173-9921 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Balch Springs, TX
- NPI 1932380573
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.