Individual provider Active NPI

Macy Mai, D.M.D.

  • Pediatric Dentistry
  • Troy, MI
National Provider Identifier
1871942656
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901602761 Issued in MI
Practice address
2240 Livernois Rd
Troy, MI 48083-1664
Phone
(248) 528-0500
NPI assigned
Jun 12, 2016
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 100466 CA
Pediatric Dentistry 1223P0221X 2901602761 MI Primary

Addresses

Primary practice location

2240 Livernois Rd
Troy, MI 48083-1664

Mailing address

16798 Summit Vista Dr
San Diego, CA 92127-3434

Other practice location 1

1265 W Huron St
Waterford, MI 48328-3677
Phone (248) 977-3327

Other practice location 2

12395 El Camino Real
Ste. 213
San Diego, CA 92130-3082
Phone (858) 481-2596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180501001331 NM Order and Referring Only - DentistPractitioner - Dentist 0042574972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100466CAMDGeneral Practice Dentistry
DS040871PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kidskare P.C. General Practice Past Accepting new patients
Children's Dental Specialists PLLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1871942656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16798 SUMMIT VISTA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831664",
            "telephone_number": "248-528-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283677",
            "country_code": "US",
            "telephone_number": "248-977-3327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12395 El Camino Real",
            "address_2": "Ste. 213",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921303082",
            "country_code": "US",
            "telephone_number": "858-481-2596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "MACY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-12",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "100466",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901602761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.