Anthonio Collins McFadden, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014232A Issued in IN

Practice address

5221 Waynetowne CT
Dayton, OH 45424-2124

Phone

(937) 237-0360

NPI assigned

Oct 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smile Detroit PC

  • Dentist
  • Royal Oak, MI
  • NPI 1851100168

  Single Specialty

  NPD Authorized official
• Dental Smile Professionals Dayton Ohio LLC

  • Dental Clinic/Center
  • Dayton, OH
  • NPI 1336607332
  NPD (past)
• Scott B Phillippi DDS LLC

  • Dental Clinic/Center
  • Huber Heights, OH
  • NPI 1649666355
  NPD (past)

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1013798016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6647 CORNELL ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801726",
            "telephone_number": "313-485-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 WAYNETOWNE CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454242124",
            "telephone_number": "937-237-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "ANTHONIO",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Alan McElfresh, PSY.D.
• Delores Benita McElroy, LPN
• Lori McElroy, AU.D.
• Brian McEneney
• Angela Crawley McFadden, RN
• Sonovia Latoya McFall, MS
• Kathleen A McGaha, CCC/SLP
• Susan T. McGarry, PT
• Leslie McGeady, LISW
• Arielle Anjannae McGee

• General Practice Dentistry in Dayton, OH
• Providers in Dayton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.