Jacqueline Jameel Zoma, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020913 Issued in MI

Practice address

6330 Orchard Lake Rd Ste 130
West Bloomfield, MI 48322-2398

Phone

(248) 932-0550

NPI assigned

May 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Zoma Dental Farmington PLLC

  • Dentist
  • Farmington, MI
  • NPI 1891499562
  NPD Authorized official
• Zoma Dental Practice PLLC

  • Dentist
  • West Bloomfield, MI
  • NPI 1619582301
  NPD Authorized official
• Avery J Murav DDS PC

  • Dentist
  • West Bloomfield, MI
  • NPI 1871535260
  NPD (past)
• Bruce a Smoler DDS PLLC

  • Dentist
  • Westland, MI
  • NPI 1063890820
  NPD (past)
• Bruce a Smoler DDS PLLC

  • Dentist
  • Westland, MI
  • NPI 1679017354
  NPD (past)

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1144667684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-932-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-932-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMA",
        "first_name": "JACQUELINE",
        "middle_name": "JAMEEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE CARRIERS",
            "identifier": "1223G001X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talia Ziv, PHD
• Brianna Zlatopolsky
• Zoma Dental Practice PLLC
• Zoma Physical Therapy PLLC
• Darlene Zoma
• Timothy Joseph Zoma, DPT
• Staci Zonca, MA LPC NCC
• Julie Zorn
• Stacy Lynn Zousmer, MPT
• Zulfiqar Ahmed Zulfi, DPT

• Dentist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.