Gerardo F Maymi, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

145148 Issued in UT

Practice address

3672 W South Jordan Pkwy
Suite 203
South Jordan, UT 84095-7171

Phone

(801) 253-7553

Fax

(801) 253-7722

NPI assigned

Apr 12, 2007

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 names 1

• Dr. Jerry F Maymi Other name

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.

• Gerardo F. Maymi, D.M.D. PC

  • General Practice Dentistry
  • South Jordan, UT
  • NPI 1780711432
  NPD
• James Nnah, DMD, PLLC

  • Dental Clinic/Center
  • South Jordan, UT
  • NPI 1588419766
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1982828950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 203",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957171",
            "telephone_number": "801-253-7553",
            "fax_number": "801-253-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 203",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957171",
            "telephone_number": "801-253-7553",
            "fax_number": "801-253-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYMI",
        "first_name": "GERARDO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "145148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "MAYMI",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Maxfield
• Maxwell Wimmer
• Heather L May, RN
• Matthew Maya, LCSW
• Makelsea Kay Mayer, RN
• Faith McCauley
• Ashlyn Rudd McClellan, FNP
• Michael J McClement
• Brittany McCulloch, LCSW
• Joy McCullough, ACMHC

• General Practice Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.