Individual provider Active NPI

Mary Elizabeth Joyce, DMD

  • Periodontics
  • Pensacola, FL
National Provider Identifier
1992221329
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN24922 Issued in FL
Practice address
6111 N Davis Hwy Ste B
Pensacola, FL 32504-6913
Phone
(850) 476-8418
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN24922 FL Primary

Addresses

Primary practice location

6111 N Davis Hwy Ste B
Pensacola, FL 32504-6913

Mailing address

6111 N Davis Hwy Ste B
Pensacola, FL 32504-6913
Phone (850) 476-8418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20171009000744 LA Order and Referring Only - DentistPractitioner - Dentist 3971878596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN24922FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Periodontics and Implant Dentistry, PLLC Periodontics Current Accepting new patients

Locations

6111 N Davis Hwy
Ste B
Pensacola, FL 32504
Phone (850) 474-0565

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1992221329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 N DAVIS HWY STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046913",
            "telephone_number": "850-476-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 N DAVIS HWY STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046913",
            "telephone_number": "850-476-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN24922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.