Active NPI
Mayra Rook, DDS
- General Practice Dentistry
- Centerville, IA
National Provider Identifier
1326449356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 09362
- Practice address
- 1015 N 18TH St
Centerville, IA 52544-1170 - Phone
- (641) 856-4045
- Fax
- (641) 856-4044
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- 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 | 09362 | IA | Primary |
Addresses
Primary practice location
1015 N 18TH St
Centerville, IA 52544-1170
Mailing address
PO Box 458
Ottumwa, IA 52501-0458
Phone (641) 684-6896
Other names 1
- Mayra Galarza
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 |
|---|---|---|---|
| 09362 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Hills Community Health Center Inc. | Past | Accepting new patients | |
| River Hills Community Health Center Inc | Past | Accepting new patients |
Interoperability endpoints
- mrook620548@direct.ochin.org
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Centerville, IA
- NPI 1447597844
-
- Federally Qualified Health Center (FQHC)
- Ottumwa, IA
- NPI 1912952367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1326449356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 458",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525010458",
"telephone_number": "641-684-6896",
"fax_number": "641-226-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N 18TH ST",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525441170",
"telephone_number": "641-856-4045",
"fax_number": "641-856-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOK",
"first_name": "MAYRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "09362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRA",
"last_name": "GALARZA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centerville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.