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614 DENTAL GROUP
NPI 1982415154
General Practice in Columbus, OH

Active since January 16, 2025
81 S 4TH ST STE 205, COLUMBUS, OH 43215(614) 588-8200 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About 614 Dental Group NPPES

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

614 DENTAL GROUP (NPI 1982415154) is a healthcare organization registered as a general practice in Columbus, Ohio and active in the NPI registry since January 2025. The organization lists Tara Polizzi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1982415154
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDERRICK MAYO LLC
Location Address81 S 4TH ST STE 205Columbus, OH 43215-4308
Mailing Address81 S 4th St Ste 205Columbus, OH 43215-4308 · (614) 588-8200
Phone(614) 588-8200
Organization SubpartNo
Authorized OfficialTara PolizziOffice Manager · (614) 588-8200
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1982415154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
81 S 4TH ST STE 205, Columbus, OH 43215
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Other Names 1

Doing Business As614 Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

614 DENTAL GROUP
Dentist (General Practice)
81 S 4TH ST STE 205
COLUMBUS, OH 43215
Franklin County (614) 588-8200

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 Derrick Mayo LLC's NPI number?

The NPI number for Derrick Mayo LLC is 1982415154. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as 614 Dental Group.

Where is Derrick Mayo LLC located?

Derrick Mayo LLC is located at 81 S 4th St Ste 205, Columbus, OH 43215. The listed phone number is (614) 588-8200.

What is Derrick Mayo LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Derrick Mayo LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest Insurance Company Inc- OH list Derrick Mayo LLC 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 Derrick Mayo LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.