NPIMap

Organization Active NPI

Elisha Mayes, DDS, PC

  • Dentist
  • La Grande, OR
National Provider Identifier
1902297542
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9190 Issued in OR
Legal business name
ELISHA MAYES, DDS, PC
Practice address
1502 N Pine St
Suite 2
La Grande, OR 97850-3543
Phone
(541) 963-8585
Fax
(541) 963-6633
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mrs. Shantay Sabin Mayes
Title
Manager
Phone
(303) 229-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9190 OR Primary

Addresses

Primary practice location

1502 N Pine St
Suite 2
La Grande, OR 97850-3543

Mailing address

1502 N Pine St
Suite 2
La Grande, OR 97850-3543
Phone (541) 963-8585

Other names 1

  • Eli Mayes Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elgin Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1502 N Pine St
Ste 2
La Grande, OR 97850
Phone (541) 963-6445

Practitioners & affiliated clinicians

Practitioners 4

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": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1902297542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N PINE ST",
            "address_2": "SUITE 2",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503543",
            "telephone_number": "541-963-8585",
            "fax_number": "541-963-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N PINE ST",
            "address_2": "SUITE 2",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503543",
            "telephone_number": "541-963-8585",
            "fax_number": "541-963-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHA MAYES, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "SHANTAY",
        "authorized_official_middle_name": "SABIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-229-0004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "9190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eli Mayes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.