David P Mayer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2569 Issued in WI

Practice address

2705 N 8TH Street
Sheboygan, WI 53083

Phone

(920) 458-7783

Fax

(920) 458-7794

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1629265350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 N 8TH STREET",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53083",
            "telephone_number": "920-458-7783",
            "fax_number": "920-458-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N 8TH STREET",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53083",
            "telephone_number": "920-458-7783",
            "fax_number": "920-458-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33424300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Oncology Associates
• H Marshall Matthews, MD
• Jessica Marie Mattia-Barry, DNP, FNP-C
• Jordyn Grace Matuschka, OD
• Cynthia Maxwell, LPC
• Donna Mayer, APNP
• Jenessa Marie Mayer, PA-C
• Jordan Mayer, SLP
• Ellora Mayerl
• Jessica McCardell

• General Practice Dentistry in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.