Jae H Ha DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAE H HA DDS PLLC

Practice address

1880 Pottery Ave Ste 200
Port Orchard, WA 98366-2518

Phone

(360) 895-4321

Fax

(360) 895-4326

NPI assigned

Mar 26, 2025

Last updated

Feb 26, 2026By 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

Jae Heung Ha, DDSNPI 1104311851

Title

Owner

Phone

(415) 830-0762

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jae Heung Ha, DDS

  • Dentist
  • Port Orchard, WA
  • NPI 1104311851
  NPD Authorized official
• Peter A. Grieser, DDS

  • General Practice Dentistry
  • Port Orchard, WA
  • NPI 1316017379
  NPD (past)
• Tracy C Sullivan, DDS

  • General Practice Dentistry
  • Port Orchard, WA
  • NPI 1275547101
  NPD (past)
• Kevin Lee Yoder, D.D.S.

  • General Practice Dentistry
  • Port Orchard, WA
  • NPI 1245512003
  NPD (past)

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1669274122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-4321",
            "fax_number": "360-895-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-4321",
            "fax_number": "360-895-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE H HA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HEUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-830-0762",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Celeste Kyle Interrante, PTA
• Philip Nathanael Isenberg, M.D.
• J & J Optometric Services (Woodridge Vision Clinic)
• J Eric Janaszak DMD
• Samay Jain, M.D.
• Carley Jean James Bruner, MA,
• Hugo Bruno Jay, DC
• JD Transport Inc
• Micajah Jenkins

• Dental Clinic/Center in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.