Individual provider Active NPI

Daha Toma, DDS

  • Dentist
  • Livonia, MI
National Provider Identifier
1093385866
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600962 Issued in MI
Practice address
37595 7 Mile Rd # 450
Livonia, MI 48152-1003
Phone
(734) 855-4474
Fax
(734) 855-4470
NPI assigned
Jun 25, 2021
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600962 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd # 450
Livonia, MI 48152-1003

Mailing address

5342 Windham Hill CT
West Bloomfield, MI 48323-2782
Phone (248) 738-8973

Other identifiers 1

IdentifierTypeStateIssuer
2901600962OtherMIDENTAL LICENSE

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
2901600962MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Michigan, LLC Dentist PastSince Jun 27, 2021 Accepting new patients
Henry Ford Health Providence Hospital PastSince Jun 27, 2021 Accepting new patients
Professional Denal Alliance of Michigan,LLC Dentist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1093385866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 WINDHAM HILL CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232782",
            "telephone_number": "248-738-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD # 450",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "734-855-4474",
            "fax_number": "734-855-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMA",
        "first_name": "DAHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901600962",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.