Theodore F Mayerdds PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5450 Issued in NC

Legal business name

THEODORE F MAYERDDS PA

Practice address

8100 Harps Mill Rd
Raleigh, NC 27615-3722

Phone

(800) 409-2563

Fax

(623) 321-6268

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Theodore F. Mayer, DDS

Title

Owner

Phone

(800) 409-2563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1346493582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W PARKSIDE LN",
            "address_2": "201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271228",
            "telephone_number": "800-409-2563",
            "fax_number": "623-321-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 HARPS MILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153722",
            "telephone_number": "800-409-2563",
            "fax_number": "623-321-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE F MAYERDDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-409-2563",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.