Darryl L Mabra DDS &Assoc Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16529 Issued in OH

Legal business name

DARRYL L MABRA DDS &ASSOC INC

Practice address

125 E Ward St
Springfield, OH 45504-2205

Phone

(937) 324-0095

NPI assigned

Oct 13, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darryl Leo Mabra, DDSNPI 1689760662

Title

President

Phone

(937) 324-0095

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl Leo Mabra, DDS

  • General Practice Dentistry
  • Springfield, OH
  • NPI 1689760662
  NPD (past) Authorized official

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1649422460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E WARD ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042205",
            "telephone_number": "937-324-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E WARD ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042205",
            "telephone_number": "937-324-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL L MABRA DDS &ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "MABRA",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-324-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B. Charney DPM
• Jennifer Marie Daniels, M.D.
• Stacy Lynette Daniels, LPN
• Ivy Darnell
• Richard B Darr, M.D.
• Dasher Family Eyecare, LLC (Dr. Julie L. Mercer-Dasher, Optometrist)
• Daubenspeck Chiropractic, Inc.
• Elillian J Daugherty, M.D.
• Jenna Daulton, COTA/L
• David B. Galluch, MD,LLC

• General Practice Dentistry in Springfield, OH
• Providers in Springfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.