NPIMap

Organization Active NPI

Persaud & Mayo LLC

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1467550327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5091 Issued in AL
Legal business name
PERSAUD & MAYO LLC
Practice address
475 Providence Main St NW
Suite #301
Huntsville, AL 35806-4815
Phone
(256) 489-5600
Fax
(256) 489-5640
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sewah Persaud, DMDNPI 1407066152
Title
Owner/Dentist
Phone
(256) 489-5600

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5091 AL Primary

Addresses

Primary practice location

475 Providence Main St NW
Suite #301
Huntsville, AL 35806-4815

Mailing address

475 Providence Main St NW
Suite #301
Huntsville, AL 35806-4815
Phone (256) 489-5600

Other names 1

  • Providence Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

475 Providence Main St NW
Ste 301
Huntsville, AL 35806
Phone (256) 489-5600

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467550327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 PROVIDENCE MAIN ST NW",
            "address_2": "SUITE #301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064815",
            "telephone_number": "256-489-5600",
            "fax_number": "256-489-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PROVIDENCE MAIN ST NW",
            "address_2": "SUITE #301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064815",
            "telephone_number": "256-489-5600",
            "fax_number": "256-489-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSAUD & MAYO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "SEWAH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "256-489-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.