James R Mayo DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30013937 Issued in OH

Legal business name

JAMES R MAYO DDS INC

Practice address

207 Wagner Ave
Greenville, OH 45331

Phone

(937) 548-5800

Fax

(937) 548-5800

NPI assigned

Dec 9, 2006

Organization subpart

No

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

Authorized official

Name

James R Mayo, DDSNPI 1932274669

Title

President

Phone

(937) 548-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Robert Mayo, DDS

  • General Practice Dentistry
  • Greenville, OH
  • NPI 1932274669
  NPD (past) Authorized official

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811057151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WAGNER AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-5800",
            "fax_number": "937-548-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WAGNER AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-5800",
            "fax_number": "937-548-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R MAYO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-548-5800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30013937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Elizabeth Huntwork, LPN
• Tonisha Hutchinson
• Integrity Ambulance Service LLC
• Linda Kay Irvin, PT, DPT
• Heather Caitlin Jackson, LSW
• Rachel Anne Jamison, MD
• Travis Jeffers
• David Kinnaird Johnson, M.D.
• Kylie Johnson, RD
• Patricia Ann Johnson

• General Practice Dentistry in Greenville, OH
• Providers in Greenville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.