Individual provider Active NPI

Martha Ha, D.D.S

  • Dentist
  • Broomfield, CO
National Provider Identifier
1255770244
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
203114 Issued in CO
Practice address
645 Flatiron Marketplace Dr Unit a
Broomfield, CO 80021
Phone
(303) 321-3040
Fax
(303) 321-3040
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 203114 CO Primary

Addresses

Primary practice location

645 Flatiron Marketplace Dr Unit a
Broomfield, CO 80021

Mailing address

645 Flatiron Marketplace Dr Unit a
Broomfield, CO 80021-8033
Phone (303) 321-3040

Other practice location 1

939 W North Ave
Chicago, IL 60642-7138
Phone (312) 642-3370

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
203114COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Dental Studio Aurora PLLC Current Accepting new patients
Clear Dental Studio PC Dentist PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 2

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": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1255770244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 FLATIRON MARKETPLACE DR UNIT A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218033",
            "telephone_number": "303-321-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 FLATIRON MARKETPLACE DR UNIT A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-321-3040",
            "fax_number": "303-321-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606427138",
            "country_code": "US",
            "telephone_number": "312-642-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "203114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.