Active NPI
Michael Steven Ayes, D.D.S.
- Dentist
- Philadelphia, PA
National Provider Identifier
1467597351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS 0190980L
- Practice address
- 722 Market St
Philadelphia, PA 19106-2312 - Phone
- (484) 234-5130
- Fax
- (484) 234-5138
- NPI assigned
- Feb 20, 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 | DS 0190980L | PA | Primary |
Addresses
Primary practice location
722 Market St
Philadelphia, PA 19106-2312
Mailing address
16 Llanberris Rd
Bala Cynwyd, PA 19004-2403
Phone (484) 234-5130
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 0190980L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467597351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LLANBERRIS RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042403",
"telephone_number": "484-234-5130",
"fax_number": "484-234-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 MARKET ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062312",
"telephone_number": "484-234-5130",
"fax_number": "484-234-5138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYES",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS 0190980L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
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.