MR. DARRYL LEO MABRA DDS
NPI 1689760662
Dentist - General Practice in Springfield, OH

Q: What is Darryl Mabra's NPI number?

The NPI number for Darryl Mabra is 1689760662. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Darryl Mabra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Darryl Mabra 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.

Active since October 05, 2006PECOS Enrolled

125 EAST WARD STREET, SPRINGFIELD, OH 45504(937) 324-0095(937) 325-4626 Get Directions Write a Review

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

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About Mr. Darryl Leo Mabra Dds NPPES

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

MR. DARRYL LEO MABRA DDS (NPI 1689760662) is an individual general practice provider in Springfield, Ohio, licensed in Ohio (16529) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689760662

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. DARRYL LEO MABRACredential: DDS

Location Address125 EAST WARD STREETSpringfield, OH 45504-2205

Mailing Address125 East Ward StreetSpringfield, OH 45504-2205 · (937) 324-0095 · Fax (937) 325-4626

Phone(937) 324-0095

Fax(937) 325-4626

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689760662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 16529

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

125 EAST WARD STREET, Springfield, OH 45504

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Other Identifiers 2

Medicaid0749604OH

Other29854OH · Care Source

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Darryl Leo Mabra 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 45504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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 Darryl Mabra's NPI number?

The NPI number for Darryl Mabra is 1689760662. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Darryl Mabra located?

Darryl Mabra practices at 125 East Ward Street, Springfield, OH 45504. The listed phone number is (937) 324-0095.

What is Darryl Mabra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Darryl Mabra enrolled in Medicare?

Yes. Darryl Mabra is registered in the Medicare PECOS enrollment system.

What insurance does Darryl Mabra accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Darryl Mabra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darryl Mabra 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.