Active NPI
Khanh Ha, D.M.D
- Dentist
- Pharr, TX
National Provider Identifier
1285094714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35753
- Practice address
- 1300 S Cage Blvd Ste K
Pharr, TX 78577-6352 - Phone
- (956) 413-7540
- NPI assigned
- Feb 25, 2016
- Last updated
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35753 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 2017014938 | MO |
Addresses
Primary practice location
1300 S Cage Blvd Ste K
Pharr, TX 78577-6352
Mailing address
1300 S Cage Blvd Ste K
Pharr, TX 78577-6352
Phone (956) 413-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | TX | NA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35753 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1285094714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S CAGE BLVD STE K",
"city": "PHARR",
"state": "TX",
"postal_code": "785776352",
"telephone_number": "956-413-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S CAGE BLVD STE K",
"city": "PHARR",
"state": "TX",
"postal_code": "785776352",
"telephone_number": "956-413-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "KHANH",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35753",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2017014938",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.