Annie Ha DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANNIE HA DDS INC

Doing business as

Imperial Smile Dentistry

Practice address

17401 Bastanchury Rd Ste 103
Yorba Linda, CA 92886-1320

Phone

(714) 524-3368

NPI assigned

Dec 29, 2019

Last updated

Dec 29, 2019By 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

Annie Ha, DDSNPI 1487095279

Title

Dentist

Phone

(949) 278-3635

Specialties & licenses 1

Addresses

Other names 1

• Imperial Smile Dentistry Doing business as

Locations

Practitioners 2

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.

• Annie Yi Yan Ha, D.D.S.

  • Dentist
  • Yorba Linda, CA
  • NPI 1487095279
  NPD Authorized official
• Joseph Joon Lim, D.D.S.

  • General Practice Dentistry
  • Yorba Linda, CA
  • NPI 1841340460
  NPD (past)

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577577600000",
    "number": "1861031528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 BASTANCHURY RD STE 103",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 BASTANCHURY RD STE 103",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861320",
            "telephone_number": "714-524-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE HA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-278-3635",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.