DR. ROSE JUYOUNG HA D.D.S.
NPI 1629246814
Dentist - General Practice in Fairfax, VA

Q: What is Rose Ha's NPI number?

The NPI number for Rose Ha is 1629246814. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Q: What is Rose Ha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Rose Ha enrolled in Medicare?

No. Rose Ha has opted out of Medicare through April 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Rose Ha was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 11, 2008Opted out of Medicare · through Apr 13, 2028

3927 OLD LEE HWY, SUITE 102 E, FAIRFAX, VA 22030(703) 691-1004(703) 691-1005 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Rose Juyoung Ha D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSE JUYOUNG HA D.D.S. (NPI 1629246814) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (4017724) and active in the NPI registry since February 2008. She has opted out of Medicare through April 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629246814

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROSE JUYOUNG HACredential: D.D.S.

Location Address3927 OLD LEE HWY, SUITE 102 EFairfax, VA 22030-2422

Mailing Address3927 Old Lee Hwy, Suite 102 EFairfax, VA 22030-2422 · (703) 691-1004 · Fax (703) 691-1005

Phone(703) 691-1004

Fax(703) 691-1005

Sole ProprietorYes

Enumeration DateFebruary 11, 2008

Last NPPES UpdateMay 1, 2008

✔ NPI 1629246814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 4017724

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3927 OLD LEE HWY, Fairfax, VA 22030

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rose Juyoung Ha D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 13, 2016 through April 13, 2028.

Opt-Out Effective DateApril 13, 2016

Opt-Out In Effect ThroughApril 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Ha's NPI number?

The NPI number for Rose Ha is 1629246814. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Rose Ha located?

Rose Ha practices at 3927 Old Lee Hwy Suite 102 E, Fairfax, VA 22030. The listed phone number is (703) 691-1004.

What is Rose Ha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Rose Ha enrolled in Medicare?

No. Rose Ha has opted out of Medicare through April 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rose Ha accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 13 other insurers list Rose Ha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose Ha was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.