Active NPI
Terah Leigh Tooma, DMD
- Dentist
- The Villages, FL
National Provider Identifier
1467199083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26857
- Practice address
- 8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884 - Phone
- (352) 674-5000
- Fax
- (352) 674-5010
- NPI assigned
- May 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN26857 | FL | Primary |
Addresses
Primary practice location
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Mailing address
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Phone (352) 674-5000
Other practice location 1
3548 Creekwood Dr Apt 6
Lexington, KY 40502-6547
Phone (580) 284-0815
Other practice location 2
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300
Other names 1
- Terah Leigh Willis
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26857 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1467199083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625884",
"telephone_number": "352-674-5000",
"fax_number": "352-674-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625884",
"telephone_number": "352-674-5000",
"fax_number": "352-674-5010"
}
],
"practiceLocations": [
{
"address_1": "3548 Creekwood Dr Apt 6",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405026547",
"country_code": "US",
"telephone_number": "580-284-0815",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "302 W Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336123415",
"country_code": "US",
"telephone_number": "813-397-5300",
"fax_number": "813-549-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOOMA",
"first_name": "TERAH",
"middle_name": "LEIGH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERAH",
"last_name": "WILLIS",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.