NPIMap

Organization Active NPI

D.M.M Group, LLC

Doing business as Donald M Mayberry and David M Mayberry

  • General Practice Dentistry
  • Barnesville, OH
National Provider Identifier
1891912879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10454 Issued in OH
Legal business name
D.M.M GROUP, LLC
Doing business as
Donald M Mayberry and David M Mayberry
Practice address
100 Hospital Drive Medical Center
Barnesville, OH 43713
Phone
(740) 425-3093
Fax
(740) 425-1714
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David M Mayberry, D.D.S.NPI 1265526156
Title
Co-Owner
Phone
(740) 425-3093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16456 OH
General Practice Dentistry 1223G0001X 10454 OH Primary

Addresses

Primary practice location

100 Hospital Drive Medical Center
Barnesville, OH 43713

Mailing address

100 Hospital Drive Medical Center
P O Box 368
Barnesville, OH 43713
Phone (740) 425-3093

Other identifiers 1

IdentifierTypeStateIssuer
2680433MedicaidOH

Other names 1

  • DONALD M MAYBERRY AND DAVID M MAYBERRY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891912879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE MEDICAL CENTER",
            "address_2": "P O BOX 368",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "43713",
            "telephone_number": "740-425-3093",
            "fax_number": "740-425-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE MEDICAL CENTER",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "43713",
            "telephone_number": "740-425-3093",
            "fax_number": "740-425-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.M.M GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "740-425-3093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16456",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "10454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2680433",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DONALD M MAYBERRY AND DAVID M MAYBERRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.