Active NPI
Mallory M Adler, DDS
- General Practice Dentistry
- Blue Ash, OH
National Provider Identifier
1902169170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30023748
- Practice address
- 9346 Towne Square Ave
Blue Ash, OH 45242-6943 - Phone
- (513) 793-3535
- NPI assigned
- Jun 21, 2012
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30023748 | OH | Primary |
Addresses
Primary practice location
9346 Towne Square Ave
Blue Ash, OH 45242-6943
Mailing address
7997 Kenilworth LN
Montgomery, OH 45242-5123
Phone (513) 205-5773
Other names 1
- Mallory J. Mandel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30023748 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Petricone DDS & Stephen H. Pick DDS Inc | General Practice | Past | Accepting new patients |
| Blue Ash Smiles Group Inc | General Practice | Past | Accepting new patients |
| Mallory Adler DDS LLC | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Cincinnati, OH
- NPI 1174980247
-
- General Practice Dentistry
- Blue Ash, OH
- NPI 1023534047
-
- General Practice Dentistry
- Cincinnati, OH
- NPI 1972618551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1902169170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7997 KENILWORTH LN",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452425123",
"telephone_number": "513-205-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9346 TOWNE SQUARE AVE",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452426943",
"telephone_number": "513-793-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "MALLORY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30023748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORY",
"last_name": "MANDEL",
"middle_name": "J.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.