Michael Ha, DMD,MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

107609 Issued in CA

Practice address

333 El Dorado St
Monterey, CA 93940-4645

Phone

(831) 373-3068

NPI assigned

Jul 25, 2019

Last updated

Oct 25, 2023By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fabrice J Gallez, DDS, Ms, Inc

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1093092686
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1508410820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR STE 310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244112",
            "telephone_number": "408-356-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404645",
            "telephone_number": "831-373-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Water St Ste K3",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604136",
            "country_code": "US",
            "telephone_number": "831-426-3538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 W Dunne Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950374846",
            "country_code": "US",
            "telephone_number": "408-779-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2581 Samaritan Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244112",
            "country_code": "US",
            "telephone_number": "408-356-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "MICHAEL",
        "credential": "DMD,MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "107609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ham2@vcu.edu",
            "affiliation": "N",
            "endpointDescription": "Institution email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 N 12th St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232985064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Gutierrez
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• Celeste Guzman
• Samantha Marie Guzman
• Erik Frank Haag, DC
• Sattar A Hadi, MD
• Erika Hadley, PT, DPT
• John Hage, M.D.
• Athena Hagerty, M.S.

• Periodontics in Monterey, CA
• Providers in Monterey, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.