Active NPI
Melba Z. Mayes, D.D.S., M.S.
- Pediatric Dentistry
- Chino Hills, CA
National Provider Identifier
1699874073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 43513
- Practice address
- 2140 Grand Ave Ste 200
Chino Hills, CA 91709-6803 - Phone
- (909) 548-4044
- Fax
- (909) 548-0848
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 43513 | CA | Primary |
Addresses
Primary practice location
2140 Grand Ave Ste 200
Chino Hills, CA 91709-6803
Mailing address
2140 Grand Ave Ste 200
Chino Hills, CA 91709-6803
Phone (909) 548-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43513 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699874073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 GRAND AVE STE 200",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096803",
"telephone_number": "909-548-4044",
"fax_number": "909-548-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 GRAND AVE STE 200",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096803",
"telephone_number": "909-548-4044",
"fax_number": "909-548-0848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "MELBA",
"middle_name": "Z.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "43513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.