Active NPI
Dana Djaha
- Student in an Organized Health Care Education/Training Program
- Roseville, MI
National Provider Identifier
1033818406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 31581 Gratiot Ave
Roseville, MI 48066-4528 - Phone
- (586) 783-4802
- Fax
- (586) 783-4805
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
31581 Gratiot Ave
Roseville, MI 48066-4528
Mailing address
31581 Gratiot Ave
Roseville, MI 48066-4528
Phone (586) 783-4802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417099417 | Medicaid | MI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1033818406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31581 GRATIOT AVE",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664528",
"telephone_number": "586-783-4802",
"fax_number": "586-783-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31581 GRATIOT AVE",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664528",
"telephone_number": "586-783-4802",
"fax_number": "586-783-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJAHA",
"first_name": "DANA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417099417",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.