NPIMap

Organization Active NPI

Daryl E. Malena

  • Periodontics
  • Omaha, NE
National Provider Identifier
1790177020
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3901 Issued in NE
Legal business name
DARYL E. MALENA
Practice address
10838 Old Mill Rd Ste 8
Omaha, NE 68154-2649
Phone
(402) 330-4100
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Daryl E. Malena, DDSNPI 1235292657
Title
Owner
Phone
(402) 330-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 3901 NE Primary

Addresses

Primary practice location

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

Mailing address

10838 Old Mill Rd Ste 8
Omaha, NE 68154-2649
Phone (402) 330-4100

National Provider Directory

National Provider Directory

Locations

10838 Old Mill Rd
Ste 8
Omaha, NE 68154
Phone (402) 330-4100

Practitioners & affiliated clinicians

Practitioners 1

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1790177020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 OLD MILL RD STE 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542649",
            "telephone_number": "402-330-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 OLD MILL RD STE 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542649",
            "telephone_number": "402-330-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL E. MALENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "MALENA",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-330-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.