Phillip Ha Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PHILLIP HA DENTAL CORPORATION

Doing business as

Rise Orthodontics

Practice address

1700 McHenry Ave Ste 16B
Modesto, CA 95350-4319

Phone

(209) 238-9800

NPI assigned

Jun 14, 2022

Last updated

Oct 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Ha, DDS, MSNPI 1083388813

Title

Ceo

Phone

(626) 482-6159

Specialties & licenses 1

Addresses

Other names 1

• Rise Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Ha, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Modesto, CA
  • NPI 1083388813
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666396800000",
    "number": "1366172033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVE STE 16B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504319",
            "telephone_number": "209-238-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVE STE 16B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504319",
            "telephone_number": "209-238-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP HA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-482-6159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Phen, DDS
• Patrice Phengdy
• Phi Health, LLC (PHI Air Medical)
• Phi Inc (PHI Air Medical)
• Dimitry Timothy Philipovitch, DDS
• Erendira Ines Phillips
• John Mark Phillips, RN
• Khyla LJ Phillips
• Linda Sue Phillips, PA-C
• Shawna Phillips, SAC

• Orthodontics and Dentofacial Orthopedics Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; 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.