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Deactivated NPI 1730621236 Deactivated / Inactive NPI Male Practitioner

Kevin Anthony Mayo , LD

Denturist • Spanaway, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin Mayo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2016
NPI Deactivation Date February 27, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Kevin Mayo, LD was a registered Denturist practicing in Spanaway, WA. Throughout an active medical career spanning 2 years, Kevin Mayo provided care at the practice location at 1012 152ND ST S until profile deactivation on 2018-02-27.

Practice Location & Contact Primary Location

Practice Address

1012 152nd St S

Spanaway, WA 983878809

Telephone 5303100457

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Spanaway, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Spanaway, WA (204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License WA DENR.DN.60674913

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2018

Record deactivated on February 27, 2018

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2016

Registered at 1012 152ND ST S, SPANAWAY, WA 983878809 (Tel: 5303100457)

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Updated Business Mailing Address November 15, 2016

Registered at 1012 152ND ST S, SPANAWAY, WA 983878809 (Tel: 5303100457)

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Provider Name / Credentials Updated November 15, 2016

Recorded as KEVIN MAYO, L.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Denturist (License #DENR.DN.60674913 in WA)

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Initial NPI Registration & Enumeration November 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730621236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2016
Last Update: November 15, 2016
Deactivation Date: February 27, 2018

Mailing Address

1012 152nd St S

Spanaway, WA 983878809

Phone: 5303100457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.