Individual provider Active NPI

Mayra Macias Tovar, DDS

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1922793777
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41545 Issued in TX
Practice address
6319 82ND St
Lubbock, TX 79424-0830
Phone
(806) 300-8989
NPI assigned
Apr 7, 2023
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41545 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6319 82ND St
Lubbock, TX 79424-0830

Mailing address

6319 82ND St
Lubbock, TX 79424-0830
Phone (806) 300-8989

Other names 1

  • Mayra Macias Tovar Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securerecords.sanford.html

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250910004020 TX Order and Referring Only - DentistPractitioner - Dentist 5092218628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1922793777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240830",
            "telephone_number": "806-300-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240830",
            "telephone_number": "806-300-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS TOVAR",
        "first_name": "MAYRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41545",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "3000 Gaston Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "MACIAS TOVAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.