Individual provider Active NPI

Darrell Ginsberg, D.M.D.

  • General Practice Dentistry
  • Manchester, IA
National Provider Identifier
1730101890
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09620 Issued in IA
Practice address
825 E Main St
Manchester, IA 52057-1838
Phone
(563) 927-5415
NPI assigned
Jul 24, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09620 IA Primary

Addresses

Primary practice location

825 E Main St
Manchester, IA 52057-1838

Mailing address

13723 76TH Ave
Flushing, NY 11367-2817
Phone (917) 515-9322

Other identifiers 1

IdentifierTypeStateIssuer
02592336MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512001325 WI Order and Referring Only - DentistPractitioner - Dentist 4385933472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
051059NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Applewhite Dental Iowa PC General Practice Past Accepting new patients
Exceldent of Oceanside Past Accepting new patients
Manchester Dental DC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1730101890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13723 76TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672817",
            "telephone_number": "917-515-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571838",
            "telephone_number": "563-927-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "DARRELL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02592336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.