MAYOMHOM UDOMSINROJ DDS,MSD
NPI 1255216263
Dentist - Prosthodontics in Iowa City, IA

Q: What is Mayomhom Udomsinroj's NPI number?

The NPI number for Mayomhom Udomsinroj is 1255216263. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Q: What is Mayomhom Udomsinroj's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since August 08, 2025PECOS Enrolled

801 NEWTON RD, IOWA CITY, IA 52242(319) 335-7440(319) 335-7451 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, Aug 8, 2025 (2 updates tracked since 2025).

On this page

About Mayomhom Udomsinroj Dds,msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYOMHOM UDOMSINROJ DDS,MSD (NPI 1255216263) is an individual prosthodontics provider in Iowa City, Iowa, licensed in Iowa (FAC-40241) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255216263

Entity TypeIndividualFemale

Primary Taxonomy1223P0700X

Provider Legal NameMAYOMHOM UDOMSINROJCredential: DDS,MSD

Location Address801 NEWTON RDIowa City, IA 52242-1001

Mailing Address322 Dental Science Bldg SIowa City, IA 52242-1001 · (319) 335-7440 · Fax (319) 335-7451

Phone(319) 335-7440

Fax(319) 335-7451

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 8, 2025

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1255216263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in IA · FAC-40241

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

801 NEWTON RD, Iowa City, IA 52242

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Iowa, Florida Combined Life.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayomhom Udomsinroj Dds,msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931600087

PECOS Enrollment IDI20250829001507

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN WILLIAM NICHOLS D.D.S.

Student in an Organized Health Care Education/Training Program