NPIMap

Individual provider Active NPI

Kelvin Ha, DDS

  • Dentist
  • Frisco, CO
National Provider Identifier
1942987904
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00205717 Issued in CO
Practice address
360 Peak One Dr Ste 325
Frisco, CO 80443-5948
Phone
(970) 668-4040
NPI assigned
Jun 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00205717 CO Primary

Addresses

Primary practice location

360 Peak One Dr Ste 325
Frisco, CO 80443-5948

Mailing address

400 N Park Ave Unit 12B-1019
Breckenridge, CO 80424-8709
Phone (425) 274-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00205717COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Community Care Clinic, Inc. Past Accepting new patients
Summit Community Care Clinic, Inc. PastSince Jun 4, 2023 Accepting new patients
Summit Community Care Clinic, Inc. PastSince Aug 11, 2019 Accepting new patients
Summit Community Care Clinic, Inc. PastSince Jul 2, 2023 Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients
Summit Community Care Clinic, Inc. PastSince Jun 23, 2024 Accepting new patients
Summit Community Care Clinic PastSince Jul 2, 2023 Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1942987904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PARK AVE UNIT 12B-1019",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248709",
            "telephone_number": "425-274-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR STE 325",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "KELVIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.