Samuel Bowen Mayfield, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0-31-71 Issued in MS

Practice address

4341 Gautier Vancleave Rd
Suite 3
Gautier, MS 39553-4825

Phone

(228) 497-9844

Fax

(228) 497-9499

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dr. Samuel B. Mayfield

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gautier, MS
  • NPI 1376757138

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• McCabe Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gautier, MS
  • NPI 1922411297

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235286642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 GAUTIER VANCLEAVE RD",
            "address_2": "SUITE 3",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534825",
            "telephone_number": "228-497-9844",
            "fax_number": "228-497-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 GAUTIER VANCLEAVE RD",
            "address_2": "SUITE 3",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534825",
            "telephone_number": "228-497-9844",
            "fax_number": "228-497-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "SAMUEL",
        "middle_name": "BOWEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "0-31-71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bessie L Marshall, BS
• Riyana Marshall
• Fredericka L Mason
• Eva Marie Masrur, B.S.
• Edna Mae Mattox, MSW
• Timothy C Mazingo, B.A.
• McCabe Orthodontics PLLC
• Matthew McCabe, D.M.D.
• Liddiea L McCarty
• Melissa Ann McCracken, B.A.

• All providers in Gautier, MS
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.