Active NPI
Madison Paige Fuston, DDS
- General Practice Dentistry
- Port Arthur, TX
National Provider Identifier
1003485418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37275 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Michael Scott Bartlett, DDS, PC | Past | Accepting new patients | |
| Smiles by Design, PLLC | General Practice | Past | 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.
-
- Dentist
- Port Arthur, TX
- NPI 1366878753
-
- General Practice Dentistry
- Port Arthur, TX
- NPI 1326976978
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.