David J. Mayberry, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

030010-L Issued in PA

Practice address

161 Waterdam Rd
Suite 220
McMurray, PA 15317-2571

Phone

(724) 941-9170

Fax

(724) 941-5719

NPI assigned

Nov 14, 2006

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

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073685426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WATERDAM RD",
            "address_2": "SUITE 220",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172571",
            "telephone_number": "724-941-9170",
            "fax_number": "724-941-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WATERDAM RD",
            "address_2": "SUITE 220",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172571",
            "telephone_number": "724-941-9170",
            "fax_number": "724-941-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "030010-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas George Lundquist, M.D., M.M.M.
• Arsenio E Manalo, D.M.D.
• Nicholas Michael Maravich, HAD
• Monika Agnieszka Marczak, O.D.
• Susan Mavrich, PT
• Ann B McCune, M.D.
• Colleen E McGuigan, LSW
• Thomas G McLellan III, L.S.W.
• John C McShane, D.M.D.
• Medexpress Urgent Care PC - Pennsylvania

• Orthodontics and Dentofacial Orthopedics Dentistry in McMurray, PA
• Providers in McMurray, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• 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.

Verify at the official NPI Registry.