INDIRA VIVIAN MEDINA MAYCOTT
NPI 1508739871
Dentist - General Practice in Tijuana, BAJA CALIFORNIA

Active since September 24, 2025
AV DE LOS OLIVOS 200, TIJUANA, BAJA CALIFORNIA 22045 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indira Vivian Medina Maycott NPPES

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

INDIRA VIVIAN MEDINA MAYCOTT (NPI 1508739871) is a healthcare organization registered as a general practice in Tijuana, BAJA CALIFORNIA and active in the NPI registry since September 2025. The organization lists Indira Vivian Medina Maycott, Dentist, as its authorized official.

NPPES Registry Identity

NPI1508739871
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINDIRA VIVIAN MEDINA MAYCOTT
Location AddressAV DE LOS OLIVOS 200Tijuana, BAJA CALIFORNIA 22045
Mailing Address1415 Manzana WaySan Diego, CA 92139-4048
Organization SubpartNo
Authorized OfficialIndira Vivian Medina MaycottDentist · (619) 272-9021
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1508739871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
AV DE LOS OLIVOS 200, Tijuana, BAJA CALIFORNIA 22045

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indira Vivian Medina Maycott's NPI number?

The NPI number for Indira Vivian Medina Maycott is 1508739871. It was assigned to this organization in the NPPES registry on September 24, 2025.

Where is Indira Vivian Medina Maycott located?

Indira Vivian Medina Maycott is located at Av De Los Olivos 200, Tijuana, BAJA CALIFORNIA 22045.

What is Indira Vivian Medina Maycott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Indira Vivian Medina Maycott was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.