Individual provider Active NPI

Mayur C Nayee, D.M.D.

  • Prosthodontics
  • Birmingham, AL
National Provider Identifier
1508174178
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D7121-C Issued in AL
Practice address
3595 Grandview Pkwy Ste 200
Birmingham, AL 35243-1982
Phone
(659) 207-2257
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014095 GA
Prosthodontics 1223P0700X D7121-C AL Primary

Addresses

Primary practice location

3595 Grandview Pkwy Ste 200
Birmingham, AL 35243-1982

Mailing address

4380 Georgetown SQ Ste 1007
Dunwoody, GA 30338-6222
Phone (770) 452-7358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230001610 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315249877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN014095GAMDDentist
D7121-CALMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1508174178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 GEORGETOWN SQ STE 1007",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386222",
            "telephone_number": "770-452-7358",
            "fax_number": "770-458-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431982",
            "telephone_number": "659-207-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYEE",
        "first_name": "MAYUR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014095",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AL",
            "license": "D7121-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.