Individual provider Active NPI

Kaylan Nguyen Ha, DDS

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1295653988
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12388 Issued in OR
Practice address
1353 Edgewater St NW
Salem, OR 97304-4050
Phone
(503) 378-0466
NPI assigned
Jul 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12388 OR Primary

Addresses

Primary practice location

1353 Edgewater St NW
Salem, OR 97304-4050

Mailing address

1974 Linwood St NW Apt 1034
Salem, OR 97304-2397
Phone (808) 258-3282

Other practice location 1

2875 Cedarwood Ct SE
Albany, OR 97322-6994
Phone (541) 926-1303

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1295653988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 LINWOOD ST NW APT 1034",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042397",
            "telephone_number": "808-258-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044050",
            "telephone_number": "503-378-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 Cedarwood Ct SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973226994",
            "country_code": "US",
            "telephone_number": "541-926-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "KAYLAN",
        "middle_name": "NGUYEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.