William Mayfield

Primary specialty

DentistTaxonomy code 122300000X

License

4238-21 Issued in MS

Practice address

1437 Old Square Rd # 105
Jackson, MS 39211-5535

Phone

(601) 956-2000

NPI assigned

Apr 28, 2020

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

State licenses

Practice roles

Locations

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.

• Lefleur Dental Group

  • Dental Clinic/Center
  • Jackson, MS
  • NPI 1801531116
  NPD Authorized official
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1063438232
  NPD (past)
• Santa Barbara Neighborhood Clinics

  • Dental Clinic/Center
  • Santa Barbara, CA
  • NPI 1972636835
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1245851559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 OAKRIDGE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392163413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 OLD SQUARE RD # 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115535",
            "telephone_number": "601-956-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 N Milpas St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931032331",
            "country_code": "US",
            "telephone_number": "805-884-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4238-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrine Mayes
• Seterica Mayes
• Romona Broussard Mayeux, FNP-BC
• Lacey Mixon Mayfield, ARNP
• Tiara Mayfield
• Grayson Maynard, DO
• Grace Ann Mayne, WHNP
• Nina Nicole Mayo, NP
• Kevin Michael Mays, M.D.
• Kayla Mayze

• Dentist in Jackson, MS
• Providers in Jackson, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.