Individual provider Active NPI

Matthew D Nona, DDS

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1780166025
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022797 Issued in MI
Practice address
30411 W 13 Mile Rd
Farmington Hills, MI 48334-2211
Phone
(248) 851-9060
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010167 AZ
Dentist 122300000X 2901022797 MI Primary

Addresses

Primary practice location

30411 W 13 Mile Rd
Farmington Hills, MI 48334-2211

Mailing address

5678 Paulos LN
West Bloomfield, MI 48322-1858
Phone (248) 719-6711

Other practice location 1

7558 M E Cad Blvd
Clarkston, MI 48348-4283
Phone (248) 625-3339

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

LicenseStateTypeSpecialty
D010167AZMDDentist
2901022797MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Basil E. Nona, D.D.S. General Practice CurrentSince Sep 12, 2021 Accepting new patients
JN Dental Associates, PLLC General Practice CurrentSince Sep 12, 2021 Accepting new patients
Nona Dental & Associates PLLC General Practice CurrentSince May 12, 2024 Accepting new patients
Western Dental of Arizona, Inc. General Practice Past Accepting new patients

Locations

7558 M E Cad Blvd
Clarkston, MI 48348
Phone (248) 625-3339

30411 W 13 Mile Rd
Farmington Hills, MI 48334
Phone (248) 538-7517

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1780166025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5678 PAULOS LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221858",
            "telephone_number": "248-719-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30411 W 13 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342211",
            "telephone_number": "248-851-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7558 M E Cad Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483484283",
            "country_code": "US",
            "telephone_number": "248-625-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NONA",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010167",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022797",
            "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 Sep 7, 2021; 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.