John Robert McFadden, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12010102A Issued in IN

Practice address

509 State Road 39 Byp
Martinsville, IN 46151-1972

Phone

(765) 342-3232

Fax

(765) 342-3291

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McFadden Family Dentistry, P.C.

  • Dentist
  • Martinsville, IN
  • NPI 1558528117
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013937192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STATE ROAD 39 BYP",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511972",
            "telephone_number": "765-342-3232",
            "fax_number": "765-342-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STATE ROAD 39 BYP",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511972",
            "telephone_number": "765-342-3232",
            "fax_number": "765-342-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010102A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinsville Pediatric Dentistry, LLC
• Martinsville Vision Clinic PC
• Montgomery W Marvel, D.D.S.
• Taylor A McClone
• McFadden Family Dentistry, P.C.
• Samantha McMinn, LCSW
• Bryana McNeely
• Metropolitan School District of Martinsville
• Barbara A Mickler, NP
• Haley L Mifflin, FNP

• Dentist in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.