Active NPI
Danielle Doman, DDS
- Dentist
- Lapeer, MI
National Provider Identifier
1679956130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021640
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220816001361 | MI | Order and Referring Only - Dentist | 2668763236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doman Dental Care | Current | Accepting new patients | |
| Associated Dentists PC | Dentist | Past | Accepting new patients |
| Directions in Dentistry, P.C. | Past | Accepting new patients | |
| Lake Orion Family Dentistry | Dentist | Past | 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.
-
- Dental Clinic/Center
- Lapeer, MI
- NPI 1710622774
-
- Dentist
- Oxford, MI
- NPI 1366518185
-
- General Practice Dentistry
- Lapeer, MI
- NPI 1609096601
-
- Dentist
- Lake Orion, MI
- NPI 1932700986
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.