Organization Active NPI

Ky Ha Dental Corporation

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1174764856
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49106 Issued in CA
Legal business name
KY HA DENTAL CORPORATION
Practice address
2753 E Miranda St
West Covina, CA 91792-2222
Phone
(626) 912-9996
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Ky Quoc Ha, D.D.SNPI 1154434843
Title
President
Phone
(323) 868-2399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49106 CA Primary

Addresses

Primary practice location

2753 E Miranda St
West Covina, CA 91792-2222

Mailing address

15727 Paramount Blvd # C
Paramount, CA 90723-4332
Phone (562) 602-1200

National Provider Directory

National Provider Directory

Locations

15727 Paramount Blvd C
Paramount, CA 90723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1174764856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15727 PARAMOUNT BLVD # C",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234332",
            "telephone_number": "562-602-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 E MIRANDA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922222",
            "telephone_number": "626-912-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY HA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-868-2399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.