Active NPI
MJ Mayhew PA
- Pediatric Dentistry
- North Wilkesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4664
- Legal business name
- MJ MAYHEW PA
- Practice address
- 120 Wilkesboro Ave
North Wilkesboro, NC 28659-4218 - Phone
- (828) 264-0110
- NPI assigned
- Dec 12, 2013
- Last updated
- Dec 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Mayhew, DDS MS PA
- Title
- Orthodontist/Pediatric Dentisit Own
- Phone
- (828) 264-0110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4664 | NC | Primary |
Addresses
Primary practice location
120 Wilkesboro Ave
North Wilkesboro, NC 28659-4218
Mailing address
120 Wilkesboro Ave
North Wilkesboro, NC 28659-4218
National Provider Directory
National Provider DirectoryLocations
120 Wilkesboro Ave
North Wilkesboro, NC 28659
Phone (336) 568-0270
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Boone, NC
- NPI 1225191356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386806400000",
"number": "1053742205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILKESBORO AVE",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WILKESBORO AVE",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594218",
"telephone_number": "828-264-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJ MAYHEW PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A",
"authorized_official_last_name": "MAYHEW",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ORTHODONTIST/PEDIATRIC DENTISIT OWN",
"authorized_official_telephone_number": "828-264-0110",
"authorized_official_credential": "DDS MS PA"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "4664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.