NPIMap

Organization Active NPI

Leslie Scruggs Mayer, D.D.S., P.a.

  • Dentist
  • Texas City, TX
National Provider Identifier
1306249933
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24756 Issued in TX
Legal business name
LESLIE SCRUGGS MAYER, D.D.S., P.A.
Practice address
1201 21St St N
Texas City, TX 77590-5445
Phone
(409) 359-5253
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. Leslie Scruggs Mayer, D.D.S.NPI 1437387651
Title
Executive Director
Phone
(409) 359-5253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24756 TX Primary

Addresses

Primary practice location

1201 21St St N
Texas City, TX 77590-5445

Mailing address

1201 21St St N
Texas City, TX 77590-5445
Phone (409) 359-5253

Other names 1

  • The Dental Cottage Doing business as

National Provider Directory

National Provider Directory

Locations

1201 21st St N
Texas City, TX 77590
Phone (409) 359-5253

Practitioners & affiliated clinicians

Practitioners 1

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": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1306249933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 21ST ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905445",
            "telephone_number": "409-359-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 21ST ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905445",
            "telephone_number": "409-359-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE SCRUGGS MAYER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SCRUGGS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-359-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.