Active NPI
Ryan K Toth, DMD
- Dentist
- Walled Lake, MI
National Provider Identifier
1750546115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019847
- Practice address
- 1080 E West Maple
Great Expressions Dental Centers
Walled Lake, MI 48390 - Phone
- (248) 668-9419
- Fax
- (348) 668-9219
- NPI assigned
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2901019847 | MI | Primary |
Addresses
Primary practice location
1080 E West Maple
Great Expressions Dental Centers
Walled Lake, MI 48390
Mailing address
300 E Long Lake
Ste 311 Great Expression Dental Centers
Bloomfield Hills, MI 48304
Phone (248) 203-1119
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 |
|---|---|---|---|---|
| I20150522002402 | MI | Order and Referring Only - Oral Surgery | 5496075962 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1750546115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E LONG LAKE",
"address_2": "STE 311 GREAT EXPRESSION DENTAL CENTERS",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48304",
"telephone_number": "248-203-1119",
"fax_number": "248-723-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E WEST MAPLE",
"address_2": "GREAT EXPRESSIONS DENTAL CENTERS",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "48390",
"telephone_number": "248-668-9419",
"fax_number": "348-668-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOTH",
"first_name": "RYAN",
"middle_name": "K",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walled Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.