Michael Thomas Mayo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1906 Issued in AZ

Practice address

1505 N Swan
Suite a
Tucson, AZ 85712

Phone

(520) 326-2420

Fax

(520) 326-2414

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael T. Mayo, D.D.S.,P.C.

  • Pediatric Dentistry
  • Tucson, AZ
  • NPI 1861762569
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891856811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N SWAN",
            "address_2": "SUITE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "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",
            "address_2": "SUITE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-326-2420",
            "fax_number": "520-326-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "1906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "080408",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breana Maynard, FNP-BC
• Joshua Maynard, RBT
• Lauren Maynard, MS, CGC
• Megan Anne Mayne, MSRN, FNP-C
• Lorna K Mayo, MD, MPH
• Sean Patrick Mayo, MD
• Valerie A Mayrsohn, O T
• Matthew James Mayuiers, M.D.
• Alexander Mazerski, D.O.
• Nuvia Elizabeth Mazon Bocanegra, COTA/L

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.