NPIMap

Organization Active NPI

Stephen J Mayo DDS & Ryan C Mayo DDS PC

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1275632143
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEPHEN J MAYO DDS & RYAN C MAYO DDS PC
Practice address
22 Davis Ave SW
Leesburg, VA 20175
Phone
(703) 777-3510
Fax
(703) 777-9488
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Ms. Karolyn I. Mosher
Title
Patient Relations Coordinator
Phone
(703) 777-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

22 Davis Ave SW
Leesburg, VA 20175

Mailing address

22 Davis Ave SW
Leesburg, VA 20175
Phone (703) 777-3510

Other names 1

  • Mayo Family Dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Mayo Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1275632143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DAVIS AVE SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-777-3510",
            "fax_number": "703-777-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DAVIS AVE SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-777-3510",
            "fax_number": "703-777-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J MAYO DDS & RYAN C MAYO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "KAROLYN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PATIENT RELATIONS COORDINATOR",
        "authorized_official_telephone_number": "703-777-3510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.