Individual provider Active NPI

Madison Paige Fuston, DDS

  • General Practice Dentistry
  • Port Arthur, TX
National Provider Identifier
1003485418
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37275 Issued in TX
Practice address
3140 Central Mall Dr
Port Arthur, TX 77642-8039
Phone
(409) 727-2164
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37275 TX Primary

Addresses

Primary practice location

3140 Central Mall Dr
Port Arthur, TX 77642-8039

Mailing address

7100 Almeda Rd Apt 526
Houston, TX 77054-2129
Phone (409) 289-1929

Other names 1

  • Madison Paige Terrier Former name

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

LicenseStateTypeSpecialty
37275TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael Scott Bartlett, DDS, PC PastSince Jun 27, 2021 Accepting new patients
Smiles by Design, PLLC General Practice PastSince Jun 27, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1003485418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 ALMEDA RD APT 526",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542129",
            "telephone_number": "409-289-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428039",
            "telephone_number": "409-727-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSTON",
        "first_name": "MADISON",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "TERRIER",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.