Hyun Myung Ha DDS. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HYUN MYUNG HA DDS. INC.

Practice address

2180 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6409

Phone

(530) 541-8229

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Hyun Myung Ha, DDS

Title

Ceo

Phone

(530) 541-8229

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kang Yul Lee, D.D.S.

  • General Practice Dentistry
  • South Lake Tahoe, CA
  • NPI 1861567349
  NPD (past)
• Youngsyl Oh Lee, D.D.S.

  • General Practice Dentistry
  • S Lake Tahoe, CA
  • NPI 1831261866
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1629697875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 LAKE TAHOE BLVD STE 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506409",
            "telephone_number": "530-541-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 LAKE TAHOE BLVD STE 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506409",
            "telephone_number": "530-541-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN MYUNG HA DDS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "HYUN MYUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-541-8229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tahoedentalarts.com",
            "affiliation": "N",
            "address_1": "2180 Lake Tahoe Blvd Ste 5",
            "city": "South Lake Tahoe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961506409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawn Allen Huestis
• Morgan Humble, DPT
• Kay Huxtable
• Nancy Huzicka Crebs, LMFT
• Brittainy Hyslop, OTR
• Kimberly Ilvento, PPS
• Amy Jackson, MED COUNSELING
• James J Lynch MD LTD (The Swift Institute)
• Thomas Joseph Jantos, MD
• Thomas Adam Jarrett, D.D.S.

• Dental Clinic/Center in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.