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DR. ROBERT TODD MABRY DDS
NPI 1407933427
Dentist - Endodontics in Fort Wayne, IN

Active since November 01, 2006PECOS Enrolled
4636 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-9439(260) 436-9467 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Todd Mabry Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT TODD MABRY DDS (NPI 1407933427) is an individual endodontics provider in Fort Wayne, Indiana, licensed in Indiana (8592) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407933427
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. ROBERT TODD MABRYCredential: DDS
Location Address4636 W JEFFERSON BLVDFort Wayne, IN 46804-6826
Mailing Address4636 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 436-9439 · Fax (260) 436-9467
Phone(260) 436-9439
Fax(260) 436-9467
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407933427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in IN · 8592✔ Licensed in OH · 19654
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4636 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Todd Mabry Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROOT CANAL SPECIALTY SERVICES INC
Dentist (Endodontics)
4636 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-9439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Mabry's NPI number?

The NPI number for Robert Mabry is 1407933427. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Robert Mabry located?

Robert Mabry practices at 4636 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-9439.

What is Robert Mabry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Robert Mabry enrolled in Medicare?

Yes. Robert Mabry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Mabry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.