Active NPI
Theodora E Danciu, DMD, DMSC
- Oral and Maxillofacial Pathology Dentistry
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 2901019744
- Practice address
- 1011 N University Ave
Ann Arbor, MI 48109-1078 - Phone
- (734) 763-6933
- Fax
- (734) 764-2469
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019744 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | PATHOLOGY2 | MI | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 2901019744 | MI | Primary |
Addresses
Primary practice location
1011 N University Ave
Ann Arbor, MI 48109-1078
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Harvard Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1011 N University Ave
Regents of Univ Mi Dentl Associates
Ann Arbor, MI 48109-1078
Phone (734) 764-3155
1011 N University RM
G018
Ann Arbor, MI 48109-1078
Phone (734) 764-1543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019744 | MI | MD | Oral and Maxillofacial Pathology Dentist |
| PATHOLOGY2 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan Oral Pathology | Oral and Maxillofacial Pathology | Current | Accepting new patients |
| Regents of the University of Michigan Oral Pathology | Dentist | Current | Accepting new patients |
| Regents of the University of Michigan Dental Faculty Associates | Dentist | Current | Accepting new patients |
Locations
1011 N University Ave
Ann Arbor, MI 48109
Phone (734) 763-6933
1011 N University Ave
Rm G18
Ann Arbor, MI 48109
Phone (734) 764-1543
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.
-
- General Practice Dentistry
- Ann Arbor, MI
- NPI 1932279882
-
- Oral and Maxillofacial Pathology Dentistry
- Ann Arbor, MI
- NPI 1083739262
-
- Oral and Maxillofacial Pathology Dentistry
- Ann Arbor, MI
- NPI 1285889709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1184861080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N UNIVERSITY AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091078",
"telephone_number": "734-763-6933",
"fax_number": "734-764-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCIU",
"first_name": "THEODORA",
"middle_name": "E",
"credential": "DMD, DMSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019744",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "PATHOLOGY2",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MI",
"license": "2901019744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.