Organization Active NPI

Michael T. Mayo, D.D.S.,P.C.

  • Pediatric Dentistry
  • Tucson, AZ
National Provider Identifier
1861762569
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1906/G2756 Issued in AZ
Legal business name
MICHAEL T. MAYO, D.D.S.,P.C.
Practice address
1505 N Swan Rd
Ste. a
Tucson, AZ 85712-4078
Phone
(520) 326-2420
Fax
(520) 326-2414
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Melissa A Rabago
Title
Front Office
Phone
(520) 326-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 1906/G2756 AZ Primary

Addresses

Primary practice location

1505 N Swan Rd
Ste. a
Tucson, AZ 85712-4078

Mailing address

1505 N. Swan Rd.
Ste. a
Tucson, AZ 85712-4000
Phone (520) 326-2420

National Provider Directory

National Provider Directory

Locations

1505 N Swan Rd
Ste A
Tucson, AZ 85712
Phone (520) 326-2420

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1861762569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N. SWAN RD.",
            "address_2": "STE. A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124000",
            "telephone_number": "520-326-2420",
            "fax_number": "520-326-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD",
            "address_2": "STE. A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124078",
            "telephone_number": "520-326-2420",
            "fax_number": "520-326-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. MAYO, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "RABAGO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "520-326-2420"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "1906/G2756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.