Joon Ha, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1018 Issued in GU

Practice address

1 3 Route 10 #353
Lot No. 2320-New-2
Mangilao, GU 96923

Phone

(671) 787-3338

NPI assigned

Mar 26, 2012

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1184990905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20638",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969210638",
            "telephone_number": "671-787-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 3 ROUTE 10 #353",
            "address_2": "LOT NO. 2320-NEW-2",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "96923",
            "telephone_number": "671-787-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59941",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GU",
            "license": "D1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Nunez Dumlao-Taitano, NP
• Frank S. Borja (Performance Mobility Solutions)
• Government of Guam Department of Administration (Central Public Health)
• Government of Guam Department of Administration (Guam Department of Public Health Central Region Community Health Cente)
• Stephen Paul Guilliot
• Honey Rizza Ang Imbo, LCSW
• Antoinette Marie Kleiner, FNP
• Lumina LLC (Mangilao Dental Clinic)
• Janna Wilgus Manglona, M.D.
• Jolan Su McNinch, RD,LD

• General Practice Dentistry in Mangilao, GU
• Providers in Mangilao, GU by specialty
• General Practice Dentistry in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.