Mayes McEntire, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4317 Issued in SC

Practice address

4023 Forest Dr
Columbia, SC 29204-4313

Phone

(803) 782-7722

Fax

(803) 782-4573

NPI assigned

Dec 17, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Palmetto Endodontics, LLC

  • Dental Clinic/Center
  • Lexington, SC
  • NPI 1538937453
  NPD (past)
• Palmetto Endodontics, LLC

  • Endodontics
  • Columbia, SC
  • NPI 1801938568
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1609012996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044313",
            "telephone_number": "803-782-7722",
            "fax_number": "803-782-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044313",
            "telephone_number": "803-782-7722",
            "fax_number": "803-782-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTIRE",
        "first_name": "MAYES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "4317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darnell McElveen, RBT
• Erin Massey McElveen, M.D.
• Frederick Judson McElveen, M.D.
• Leland J McElveen, MD
• William Alvin McElveen, M.D.
• Joan Michele McEwan, APRN
• Cynthia McFadden, DHSC, LISW-CP, LCSW
• Earl B. McFadden II, M.D.
• Henry McFadden
• Jazmine McFadden, CADC

• Endodontics in Columbia, SC
• Providers in Columbia, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.