Individual provider Active NPI

Holly Virginia Mayher, D.D.S.

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1295095198
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12213 Issued in MD
Practice address
101 Ridgely Ave Ste 22a
Annapolis, MD 21401-1416
Phone
(410) 268-5751
Fax
(410) 267-7044
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12213 MD Primary

Addresses

Primary practice location

101 Ridgely Ave Ste 22a
Annapolis, MD 21401-1416

Mailing address

101 Ridgely Ave Ste 22a
Annapolis, MD 21401-1416
Phone (410) 268-5751

Other names 1

  • Dr. Holly Guard Mayher Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118000792 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2769761550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12213MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1295095198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE STE 22A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011416",
            "telephone_number": "410-268-5751",
            "fax_number": "410-267-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE STE 22A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011416",
            "telephone_number": "410-268-5751",
            "fax_number": "410-267-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHER",
        "first_name": "HOLLY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MAYHER",
            "middle_name": "GUARD",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.