Active NPI
Joseph Samona, DDS
- Dentist
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600830
- Practice address
- 39242 Dequindre Rd Ste 106
Sterling Heights, MI 48310-1767 - Phone
- (586) 795-5678
- NPI assigned
- Jul 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | ETN763 | TX | |
| Dentist | 122300000X | 2901600830 | MI | Primary |
Addresses
Primary practice location
39242 Dequindre Rd Ste 106
Sterling Heights, MI 48310-1767
Mailing address
Ut Health Science Center at San Antonio
8210 Floyd Curl Drive, MSC 8103
San Antonio, TX 78240-3923
Phone (210) 450-3273
Other practice location 1
UT Health Science Center at San Antonio
8210 Floyd Curl Drive, MSC 8103
San Antonio, TX 78240-3923
Phone (210) 450-3273
Other practice location 2
43902 Woodward Ave Ste 220
Bloomfield Hills, MI 48302-5022
Phone (248) 335-4427
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600830 | MI | MD | Dentist |
| ETN763 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Young Dentistry Bayside PC | Current | Accepting new patients | |
| Michael L. Young DDS | Current | Accepting new patients | |
| Bloomfield Hills Dental Group PLLC | Past | Accepting new patients |
Locations
39242 Dequindre Rd
Ste 106
Sterling Heights, MI 48310
Phone (248) 689-9183
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Lenox, MI
- NPI 1760263248
-
dba Forever Young Dentistry
- General Practice Dentistry
- Sterling Heights, MI
- NPI 1578138806
-
- Periodontics
- Bloomfield Hills, MI
- NPI 1902473374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1023636446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UT HEALTH SCIENCE CENTER AT SAN ANTONIO",
"address_2": "8210 FLOYD CURL DRIVE, MSC 8103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403923",
"telephone_number": "210-450-3273",
"fax_number": "210-450-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39242 DEQUINDRE RD STE 106",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483101767",
"telephone_number": "586-795-5678"
}
],
"practiceLocations": [
{
"address_1": "UT Health Science Center at San Antonio",
"address_2": "8210 Floyd Curl Drive, MSC 8103",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782403923",
"country_code": "US",
"telephone_number": "210-450-3273",
"fax_number": "210-450-2223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43902 Woodward Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Bloomfield Hills",
"state": "MI",
"postal_code": "483025022",
"country_code": "US",
"telephone_number": "248-335-4427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMONA",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-13",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "ETN763",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.