Active NPI
Pamela Ann McMahon, DDS
- General Practice Dentistry
- Gold Canyon, AZ
National Provider Identifier
1952304941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5260
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D5260 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Canyon Dentistry | General Practice | Current | Accepting new patients |
| McMahon, DDS, Inc | Current | 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.
-
- General Practice Dentistry
- Gold Canyon, AZ
- NPI 1235930611
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.