Individual provider Active NPI

Danielle Doman, DDS

  • Dentist
  • Lapeer, MI
National Provider Identifier
1679956130
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021640 Issued in MI
Practice address
639 W Nepessing St
Lapeer, MI 48446-2007
Phone
(810) 664-6962
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021640 MI Primary

Addresses

Primary practice location

639 W Nepessing St
Lapeer, MI 48446-2007

Mailing address

639 W Nepessing St
Lapeer, MI 48446-2007
Phone (810) 664-6962

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816001361 MI Order and Referring Only - DentistPractitioner - Dentist 2668763236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doman Dental Care CurrentSince May 8, 2022 Accepting new patients
Associated Dentists PC Dentist Past Accepting new patients
Directions in Dentistry, P.C. PastSince May 1, 2022 Accepting new patients
Lake Orion Family Dentistry Dentist PastSince Nov 8, 2020 Accepting new patients

Locations

639 W Nepessing St
Lapeer, MI 48446
Phone (810) 664-6962

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1679956130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462007",
            "telephone_number": "810-664-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462007",
            "telephone_number": "810-664-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAN",
        "first_name": "DANIELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.