Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Derick Mayberry, DDS

Periodontics in Hurlburt Field, FL · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003369422

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Registry record

Entity type Individual (Type 1)

Name Derick Mayberry

Credential DDS

Sex Male

Practice address 113 Lielmanis Ave, Hurlburt Field, FL, 32544

Phone (850) 881-2000

Enumeration date Aug 2, 2016

Last updated in NPPES Sep 1, 2020

Taxonomy & licenses

1223P0300X Periodontics Dental Providers · License 016.0123575 (VT) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Derick Mayberry?

Derick Mayberry is registered in NPPES with the primary taxonomy of Periodontics. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-01.