Mary Ellen McMahon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017060 Issued in MI

Practice address

8185 Holly Rd Ste 15
Grand Blanc, MI 48439-2444

Phone

(810) 695-0842

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Ellen Levasseur Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1770637613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 HOLLY RD STE 15",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392444",
            "telephone_number": "810-695-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 HOLLY RD STE 15",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392444",
            "telephone_number": "810-695-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LEVASSEUR",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa May McKenzie, RN
• Debbie McLain
• Taylor McLaurin, LLMSW
• Jessica Lee McLean, REGISTERED NURSE
• Haley Marie McLellan
• Antoneio McMillion
• Lyniece Renney McNair-Levi, MS, AT, ATC
• Matthew Gordon McTaggart, PHARMD
• Amitkumarreddy Meda, MD
• Anish Kumar Reddy Meda, MD

• General Practice Dentistry in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.