Daryl E. Malena, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3901 Issued in NE

Practice address

10838 Old Mill Rd
Suite 8
Omaha, NE 68154-2649

Phone

(402) 330-4100

Fax

(402) 330-4103

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Not 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.

• Daryl E. Malena

  • Periodontics
  • Omaha, NE
  • NPI 1790177020
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235292657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 OLD MILL RD",
            "address_2": "SUITE 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542649",
            "telephone_number": "402-330-4100",
            "fax_number": "402-330-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 OLD MILL RD",
            "address_2": "SUITE 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542649",
            "telephone_number": "402-330-4100",
            "fax_number": "402-330-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENA",
        "first_name": "DARYL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Maldonado
• Hannah Maldonado, MD
• Mireyah Maldonado
• Farheen G Malek, BDS, MDS, MSD
• Suman Malekyar
• Dawn R Malene, M.D.
• Sarah Marie Malesa, PA-C
• Mark A Malesker, PHARMD
• Teri Lynn Malfait
• Claire Sim Malhotra, MD

• Periodontics in Omaha, NE
• Providers in Omaha, NE by specialty
• Periodontics in Nebraska

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.