NPIMap

Organization Active NPI

Jerry a Mayer D.M.D., LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Ironton, OH
National Provider Identifier
1750686077
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19061 Issued in OH
Legal business name
JERRY A MAYER D.M.D., LLC
Practice address
2301 S 7TH St
Suite 1
Ironton, OH 45638-2542
Phone
(740) 532-4613
Fax
(740) 532-8099
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Jerry A Mayer, DMDNPI 1235146101
Title
Oral Surgeon
Phone
(740) 532-4613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 19061 OH Primary

Addresses

Primary practice location

2301 S 7TH St
Suite 1
Ironton, OH 45638-2542

Mailing address

2301 S 7TH St
Suite 1
Ironton, OH 45638-2542
Phone (740) 532-4613

Other identifiers 5

IdentifierTypeStateIssuer
MAYER.JEOtherOHCARESOURCE/ OHIO MEDICAID
60059490MedicaidKY
64059496MedicaidKY
0751575MedicaidOH
MAYER2301OtherOHDENTAQUEST/ OHIO MEDICAID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1750686077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S 7TH ST",
            "address_2": "SUITE 1",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382542",
            "telephone_number": "740-532-4613",
            "fax_number": "740-532-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S 7TH ST",
            "address_2": "SUITE 1",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382542",
            "telephone_number": "740-532-4613",
            "fax_number": "740-532-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A MAYER D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "740-532-4613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "19061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE/ OHIO MEDICAID",
            "identifier": "MAYER.JE",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60059490",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64059496",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751575",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAQUEST/ OHIO MEDICAID",
            "identifier": "MAYER2301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.