Individual provider Active NPI

Pamela Ann McMahon, DDS

  • General Practice Dentistry
  • Gold Canyon, AZ
National Provider Identifier
1952304941
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5260 Issued in AZ
Practice address
6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934
Phone
(480) 288-1800
Fax
(480) 288-1888
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5260 AZ Primary

Addresses

Primary practice location

6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934

Mailing address

6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934
Phone (480) 288-1800

Other names 1

  • Dr. Pamela Ann Gould-McMahon-Lyman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D5260AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Canyon Dentistry General Practice CurrentSince Mar 24, 2025 Accepting new patients
McMahon, DDS, Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

6589 S Kings Ranch Rd
Ste 101
Gold Canyon, AZ 85118
Phone (480) 288-1800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1952304941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE 101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182934",
            "telephone_number": "480-288-1800",
            "fax_number": "480-288-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE 101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182934",
            "telephone_number": "480-288-1800",
            "fax_number": "480-288-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "GOULD-MCMAHON-LYMAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.