Organization Active NPI

Mayes Enterprises PLLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1346471869
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12823 Issued in NV
Legal business name
MAYES ENTERPRISES PLLC
Practice address
10050 Banburry Cross Dr Ste 130
Las Vegas, NV 89144-7061
Phone
(702) 360-4836
Fax
(702) 548-7676
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Dr. Donald Hugh Mayes, MDNPI 1750509329
Title
Owner
Phone
(702) 882-8415

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 12823 NV Primary

Addresses

Primary practice location

10050 Banburry Cross Dr Ste 130
Las Vegas, NV 89144-7061

Mailing address

1124 Olvera Way
Las Vegas, NV 89128-0556
Phone (702) 882-8415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000073 NV Part B Supplier - Clinic/Group Practice 1456407246 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1346471869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 OLVERA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280556",
            "telephone_number": "702-882-8415",
            "fax_number": "702-548-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 BANBURRY CROSS DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891447061",
            "telephone_number": "702-360-4836",
            "fax_number": "702-548-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-882-8415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.