Individual provider Active NPI

Dennis Mayock

  • Neonatal-Perinatal Medicine Physician
  • Seattle, WA
National Provider Identifier
1013932680
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD00016391 Issued in WA
Practice address
Pediatrics, Box 356320
University of Washington
Seattle, WA 98195-6320
Phone
(206) 543-3200
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD00016391 WA Primary

Addresses

Primary practice location

Pediatrics, Box 356320
University of Washington
Seattle, WA 98195-6320

Mailing address

Pediatrics, Box 356320
University of Washington
Seattle, WA 98195-6320

Other identifiers 1

IdentifierTypeStateIssuer
8101792MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000572 WA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 6103953153 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of Chrmc and University Physicians Neonatal-Perinatal Medicine CurrentSince Mar 1, 2010 Accepting new patients
Association of CHMC and University Physicians CurrentSince Mar 1, 2010 Accepting new patients
The Association of University Physicians CurrentSince Jul 1, 2014 Accepting new patients

Locations

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: dmayock6644@direct.seattlechildrens.org

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013932680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRICS, BOX 356320",
            "address_2": "UNIVERSITY OF WASHINGTON",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATRICS, BOX 356320",
            "address_2": "UNIVERSITY OF WASHINGTON",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956320",
            "telephone_number": "206-543-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOCK",
        "first_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WA",
            "license": "MD00016391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101792",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.