NPIMap

Organization Active NPI

Ryan C. Mayo, D.D.S & Gregory C. Mayo D.D.S., P.C.

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1871968255
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RYAN C. MAYO, D.D.S & GREGORY C. MAYO D.D.S., P.C.
Practice address
22 Davis Ave SW
Leesburg, VA 20175-3824
Phone
(703) 777-3510
Fax
(703) 777-9488
NPI assigned
Dec 10, 2015
Organization subpart
Yes
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Gregory C Mayo, D.D.S.NPI 1811096779
Title
Dentist/Owner
Phone
(703) 777-3510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

22 Davis Ave SW
Leesburg, VA 20175-3824

Mailing address

22 Davis Ave SW
Leesburg, VA 20175-3824
Phone (703) 777-3510

National Provider Directory

National Provider Directory
Tax ID family
Mayo Family Dentistry2 organizations share this tax ID, including this one
Part of
Giovanni P Iuculano DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22 Davis Ave SW
Leesburg, VA 20175
Phone (703) 777-3510

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1871968255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DAVIS AVE SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753824",
            "telephone_number": "703-777-3510",
            "fax_number": "703-777-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DAVIS AVE SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753824",
            "telephone_number": "703-777-3510",
            "fax_number": "703-777-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C. MAYO, D.D.S & GREGORY C. MAYO D.D.S., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC VALLEY DENTAL CARE, PLLC",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "703-777-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.