Active NPI
Jared M Mayer, DMD
- General Practice Dentistry
- Avondale, AZ
National Provider Identifier
1235445669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8026
- Practice address
- 9915 W McDowell Rd Ste 105
Avondale, AZ 85392-4897 - Phone
- (623) 907-4562
- Fax
- (623) 907-5979
- NPI assigned
- Aug 23, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8026 | AZ | Primary |
Addresses
Primary practice location
9915 W McDowell Rd Ste 105
Avondale, AZ 85392-4897
Mailing address
2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8026 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1235445669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 MICHELLE FL 2",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061008",
"telephone_number": "714-368-2077",
"fax_number": "714-368-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 W MCDOWELL RD STE 105",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924897",
"telephone_number": "623-907-4562",
"fax_number": "623-907-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "JARED",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "8026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.