Active NPI
Delana Pittman
- Dental Hygienist
- Farmington Hills, MI
National Provider Identifier
1740035443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902014076
- Practice address
- 30890 W 10 Mile Rd
Farmington Hills, MI 48336-2606 - Phone
- (248) 478-0900
- NPI assigned
- Apr 17, 2024
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902014076 | MI | Primary |
Addresses
Primary practice location
30890 W 10 Mile Rd
Farmington Hills, MI 48336-2606
Mailing address
19562 Northridge Dr
Northville, MI 48167-2912
Phone (203) 610-9145
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902014076 | MI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile America | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Farmington Hills, MI
- NPI 1275809162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1740035443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19562 NORTHRIDGE DR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481672912",
"telephone_number": "203-610-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30890 W 10 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362606",
"telephone_number": "248-478-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "DELANA",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902014076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.