David Kevin Mayes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019996 Issued in IL

Practice address

9101 S Western Ave
Suite12
Chicago, IL 60643-6751

Phone

(773) 779-0300

Fax

(773) 779-5974

NPI assigned

Dec 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David K Mayes D.D.S L.T.D.

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1154972768
  NPD (past) Authorized official

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1437489291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 S WESTERN AVE",
            "address_2": "SUITE12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436751",
            "telephone_number": "773-779-0300",
            "fax_number": "773-779-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S WESTERN AVE",
            "address_2": "SUITE12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436751",
            "telephone_number": "773-779-0300",
            "fax_number": "773-779-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "DAVID",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Mayer
• Michael Mayer
• Stockton McQuade Mayer, D.O.
• Susan Mayer, DDS
• Angelique Mayes, LCSW
• Mary Jo Mayes, LPC
• Tracy James Mayes, MA LCPC
• Zerek Mayes, MSW, LCSW, EDD
• Mayfair Advantage MRI, Inc
• Mayfair Familycare SC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.