Yamini Mada, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022949 Issued in MI

Practice address

39555 W 10 Mile Rd Ste 306
Novi, MI 48375-2950

Phone

(248) 442-7305

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1588159172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PINEHURST DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 W 10 MILE RD STE 306",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752950",
            "telephone_number": "248-442-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "957 Highway 33 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086902727",
            "country_code": "US",
            "telephone_number": "609-587-1063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADA",
        "first_name": "YAMINI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02719100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany M Mackie
• Anna Macmillan
• Bridget Esther Macmillan
• Kelsey Susan Macneill
• Macomb Primary Care, P.C.
• Akanksha Madan, LLPC
• Eva Ken'Yanna Madden, M.A.
• Luci Madden
• Allison Maddox
• Kelli Maddox

• Dentist in Novi, MI
• Providers in Novi, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.