Active NPI
Eva Mandybur
- Dentist
- Columbus, OH
National Provider Identifier
1811796386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.028066
- Practice address
- 212 S High St
Columbus, OH 43215-4502 - Phone
- (614) 461-4600
- NPI assigned
- Mar 10, 2025
- Last updated
- Jul 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.028066 | OH | Primary |
Addresses
Primary practice location
212 S High St
Columbus, OH 43215-4502
Mailing address
145 W 2ND Ave
Columbus, OH 43201-3408
Phone (513) 516-7305
Other practice location 1
6750 Avery Muirfield Dr Ste B
Dublin, OH 43017-1230
Phone (614) 705-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Square Dental of Columbus | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Columbus, OH
- NPI 1750105227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1811796386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W 2ND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013408",
"telephone_number": "513-516-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154502",
"telephone_number": "614-461-4600"
}
],
"practiceLocations": [
{
"address_1": "6750 Avery Muirfield Dr Ste B",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430171230",
"country_code": "US",
"telephone_number": "614-705-0064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDYBUR",
"first_name": "EVA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.028066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.