Active NPI
Michelle M Mayer, D.M.D.
- Dentist
- Lehigh Acres, FL
National Provider Identifier
1750532818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18329
- Practice address
- 105 Connecticut Rd
Lehigh Acres, FL 33936-6117 - Phone
- (239) 369-5861
- Fax
- (239) 369-7121
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | DN18329 | FL | Primary |
Addresses
Primary practice location
105 Connecticut Rd
Lehigh Acres, FL 33936-6117
Mailing address
881 Uss James Madison Rd
NBHC Dental Department
Kings Bay, GA 31547
Phone (912) 573-4212
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 |
|---|---|---|---|
| DN18329 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Cove Pediatric Dentistry | Current | Accepting new patients | |
| Comfortable Care Dental Health Professionals, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Owens Cross Roads, AL
- NPI 1720789845
-
- General Practice Dentistry
- Lehigh Acres, FL
- NPI 1487205910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1750532818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 USS JAMES MADISON RD",
"address_2": "NBHC DENTAL DEPARTMENT",
"city": "KINGS BAY",
"state": "GA",
"postal_code": "31547",
"telephone_number": "912-573-4212",
"fax_number": "912-573-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CONNECTICUT RD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366117",
"telephone_number": "239-369-5861",
"fax_number": "239-369-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "MICHELLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.