Individual provider Active NPI

Ty Allen Mays, DDS

  • Dental Anesthesiology
  • Weatherford, OK
National Provider Identifier
1790213486
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
142031539924 Issued in UT
Practice address
516 W Arlington Ave
Weatherford, OK 73096-2845
Phone
(580) 302-3726
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6924 OK
Dental Anesthesiology 1223D0004X 142031539924 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X 061661 NY

Addresses

Primary practice location

516 W Arlington Ave
Weatherford, OK 73096-2845

Mailing address

1106 S Redwood Rd # D21
Salt Lake City, UT 84104-3308
Phone (580) 302-3726

Other practice location 1

148B Rockland Hall
Stony Brook, NY 11794-8711
Phone (580) 302-3726

Other practice location 2

701 Shedeck Pkwy
Yukon, OK 73099-6021
Phone (405) 494-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20251124002134 UT Practitioner - Dental Anesthesiology 8820580269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dental Anesthesiology
Education
University of Oklahoma College of Dentistry, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1106 S Redwood Rd
D21
Salt Lake City, UT 84104-3308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142031539924UTMDDentist Anesthesiologist
6924OKMDGeneral Practice Dentistry
061661NYMDCritical Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Surgical Suite Current Accepting new patients
Family Surgical Suite CurrentSince Sep 5, 2025 Accepting new patients
Family Surgical Suite CurrentSince Sep 5, 2025 Accepting new patients

Locations

151 E 5600 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 833-0449

151 E 5600 S
Ste 104
Salt Lake Cty, UT 84107
Phone (801) 816-0332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1790213486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 S REDWOOD RD # D21",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043308",
            "telephone_number": "580-302-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W ARLINGTON AVE",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962845",
            "telephone_number": "580-302-3726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148B Rockland Hall",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948711",
            "country_code": "US",
            "telephone_number": "580-302-3726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Shedeck Pkwy",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996021",
            "country_code": "US",
            "telephone_number": "405-494-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYS",
        "first_name": "TY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6924",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "UT",
            "license": "142031539924",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "061661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.