Vicki M Mayo Persaud, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5145 Issued in AL

Practice address

1823 Somerville Rd SE
Decatur, AL 35601-5015

Phone

(256) 355-2132

NPI assigned

Apr 13, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawkins McCaghren Partnership

  • General Practice Dentistry
  • Decatur, AL
  • NPI 1265581268
  NPD (past)
• Persaud & Mayo LLC

  dba Providence Family Dental

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1467550327
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770707291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 PROVIDENCE MAIN ST NW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064817",
            "telephone_number": "256-489-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015015",
            "telephone_number": "256-355-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO PERSAUD",
        "first_name": "VICKI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Gerard Maxwell, D.C.
• Ashley Pearson May, MS
• Brandi Maye
• Delaney Rose Mayer, RBT
• Jennifer Maynor
• McAbee Medical, Inc
• Delilah K McAnalley
• Ronnie Allen McCaghren, DMD
• Paul P McCain, M.D.
• Miles S. McCarthy, D.M.D.

• General Practice Dentistry in Decatur, AL
• Providers in Decatur, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.