Shauna Rae Mayer, RDH

Key facts

NPI

1831864388

Entity type

Individual (NPI type 1)

Primary specialty

Dental Hygienist 124Q00000X

License

276608-9920 (UT)

Practice address

7321 Balmer St BLDG 570
Hill Afb, UT 84056-5012

Phone

(801) 777-7011

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2021.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1831864388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 W 1770 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757018",
            "telephone_number": "801-628-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 BALMER ST BLDG 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-777-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "SHAUNA",
        "middle_name": "RAE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "UT",
            "license": "276608-9920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill Afb, UT

• Derek R Larson, LCSW
• Nathan Michael Leeman, IDMT-P
• Tracy Amy Louie
• Staci Lynne Maclean
• Chloe Marie Mager, PHYSICIAN ASSISTANT
• Joseph Patrick McFadden, OD
• Jaime N Miller, PHARMD
• Robert Justin Miller, MD
• Brent Alexander Milne, DMD
• Shelby Maryann Moderow

All providers in Hill Afb, UT · Dental Hygienist in Utah