Organization Active NPI

Madison a Dental Corporation

Doing business as Atlas Dental Care

  • General Practice Dentistry
  • El Monte, CA
National Provider Identifier
1033243498
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37446 Issued in CA
Legal business name
MADISON A DENTAL CORPORATION
Doing business as
Atlas Dental Care
Practice address
2732 Santa Anita Ave
El Monte, CA 91733-2262
Phone
(626) 444-2605
Fax
(626) 444-0615
NPI assigned
Mar 15, 2007
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mr. Miles Madison, DDSNPI 1477687580
Title
President
Phone
(626) 444-2605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37446 CA Primary

Addresses

Primary practice location

2732 Santa Anita Ave
El Monte, CA 91733-2262

Mailing address

2732 Santa Anita Ave
El Monte, CA 91733-2262
Phone (626) 444-2605

Other names 1

  • Atlas Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2732 Santa Anita Ave
El Monte, CA 91733
Phone (626) 444-2605

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1033243498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332262",
            "telephone_number": "626-444-2605",
            "fax_number": "626-444-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332262",
            "telephone_number": "626-444-2605",
            "fax_number": "626-444-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-444-2605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.