Jonathan Minho Ha, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33077 Issued in TX

Practice address

6212 De Zavala Rd
San Antonio, TX 78249-2201

Phone

(210) 694-4087

NPI assigned

Jun 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Jonathan Ha, DDS PPLC

  • Dental Clinic/Center
  • Cibolo, TX
  • NPI 1801718275
  NPD (past) Authorized official
• Detailed Dental, PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1013292234
  NPD (past)

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1851811442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27907 CAZADOR TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601846",
            "telephone_number": "210-557-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492201",
            "telephone_number": "210-694-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "JONATHAN",
        "middle_name": "MINHO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H&S Champs Medical, LTD (Champs Medical / Simon and Simon)
• H5 Prosthetics and Orthotics LLC
• Chul Soo Ha, M.D.
• Cindy Ha, DMD
• Hien Ha, PHARM.D.
• Joyce Auhjean Ha
• Kevin Ha, MD
• Thao-Mi Tran Ha, DO
• Morgan Haag, DO
• Terri Lynne Haag, M.A., CCC-SLP

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.