Michael Joseph Maccaro, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D010318 Issued in AZ

Practice address

10 N Alamos Dr
Cottonwood, AZ 86326-4020

Phone

(928) 634-6641

NPI assigned

Jun 1, 2005

Last updated

Apr 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  dba Bodaway Gap Clinic

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• General Dentistry for Kids-Greenway PLLC

  dba General Dentistry 4 Kids

  • Dentist
  • Phoenix, AZ
  • NPI 1316111057
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1790787810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 E STERLING LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860056571",
            "telephone_number": "928-310-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N ALAMOS DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264020",
            "telephone_number": "928-634-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "16775",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D010318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Lord, D.D.S.
• Donna M Lucas, R.D,L.D.
• Roger H Lucier, PT
• Jennifer Lyonnais, MS, CF-SLP
• Todd M Lyonnais, P.T.
• Orrin Lee Mackey, DMD
• Suzanne Maestas
• Maggie's Home Health, LLC
• Main Street Diagnostic LLC (Mingus Center (Level 1 Sub Acute Agency))
• Main Street Diagnostic, LLC (Mingus Center - Rio de Esperanza)

• Pediatric Dentistry in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.