Active NPI
Brian Elder Mayer, DDS PLLC
- Dentist
- Snoqualmie, WA
National Provider Identifier
1437276581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5947
- Practice address
- 38700 SE River St
Ste E
Snoqualmie, WA 98065 - Phone
- (425) 888-2703
- Fax
- (425) 888-1554
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5947 | WA | Primary |
Addresses
Primary practice location
38700 SE River St
Ste E
Snoqualmie, WA 98065
Mailing address
PO Box 453
Snoqualmie, WA 98065
Phone (425) 888-2703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5007125 | Other | WA | DSHS |
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 |
|---|---|---|---|
| 5947 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437276581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 453",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "98065",
"telephone_number": "425-888-2703",
"fax_number": "425-888-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38700 SE RIVER ST",
"address_2": "STE E",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "98065",
"telephone_number": "425-888-2703",
"fax_number": "425-888-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "BRIAN",
"middle_name": "ELDER",
"name_prefix": "Dr.",
"credential": "DDS PLLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "5947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "5007125",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.