Organization Active NPI

David K Mayes D.D.S L.T.D.

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1154972768
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID K MAYES D.D.S L.T.D.
Practice address
9101 S Western Ave # 2NDFL
Chicago, IL 60643-6751
Phone
(773) 779-0300
NPI assigned
Sep 25, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dr. David Kevin Mayes, DDSNPI 1437489291
Title
President
Phone
(773) 779-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9101 S Western Ave # 2NDFL
Chicago, IL 60643-6751

Mailing address

9101 S Western Ave Ste 12
Chicago, IL 60643-6751

National Provider Directory

National Provider Directory

Locations

9101 S Western Ave
#2
Chicago, IL 60643
Phone (773) 779-0300

9101 S Western Ave
Ste 12
Chicago, IL 60643
Phone (773) 779-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1154972768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 S WESTERN AVE STE 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S WESTERN AVE # 2NDFL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436751",
            "telephone_number": "773-779-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K MAYES D.D.S L.T.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-779-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.