Kembria Chantel Mayes

Primary specialty

DentistTaxonomy code 122300000X

License

DEN5291 Issued in ME

Practice address

171 Maine Mall Rd
South Portland, ME 04106-2310

Phone

(207) 910-3567

NPI assigned

Apr 22, 2024

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1437904513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEARD ST UNIT 355",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501965",
            "telephone_number": "678-478-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAINE MALL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062310",
            "telephone_number": "207-910-3567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kneeland St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111527",
            "country_code": "US",
            "telephone_number": "617-636-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYES",
        "first_name": "KEMBRIA",
        "middle_name": "CHANTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN5291",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandre Buio Mavungo
• Sarah Beth Maxner, LMSW
• Laura Maxwell, RN
• Teresa L May, DO
• Abigail Pendleton Maycock, LCSW
• Mbo Care LLC (Mbo Care)
• Timothy McAteer, MD
• Jennifer Jacques McBride, D.C.
• David Matthews McCain
• Victoria M McCain, PHD

• Dentist in South Portland, ME
• Providers in South Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.