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Mallory Mayeda

Dentist - General Practice β€’ Frisco, CO

Active NPI 1770117368 Individual Practitioner Female Practitioner
Practice location in NPPES

360 Peak One Dr Ste 325
Frisco, CO 804435948

Call 9706684045 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

360 Peak One Dr Ste 325

Frisco, CO 804435948

Telephone 9706684045

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Frisco and Colorado

4 active clinicians are listed under Dentist - General Practice with a practice address in Frisco, CO (2,493 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CO DEN.00204670

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1942987904

Doctor of Dental Surgery

NPI 1154966026

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 13, 2022

Registered at 360 PEAK ONE DR STE 325, FRISCO, CO 804435948 (Tel: 9706684045)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2022

Dentist (license number reported to NPPES: CO DEN.00204670)

βœ…
NPI Profile Active February 24, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2020

Registered at 220 E ROGERS RD, LONGMONT, CO 805016027 (Tel: 3036972583)

πŸ“
Business Mailing Address (Initial Record) February 24, 2020

Registered at 15804 W 63RD AVE, ARVADA, CO 804032145 (Tel: 3039902989)

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2020

Recorded as MALLORY MAYEDA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 24, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770117368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2020
Last Update: July 13, 2022
Sole Proprietor: Yes

Mailing Address

15804 W 63rd Ave

Arvada, CO 804032145

Phone: 3039902989

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.