Active NPI
Madeline Delphime Huddleston, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1033690375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10844
- Practice address
- 3030 Covington Pike Ste 150
Memphis, TN 38128-5041 - Phone
- (901) 310-1441
- NPI assigned
- Aug 24, 2018
- Last updated
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10844 | TN | Primary |
Addresses
Primary practice location
3030 Covington Pike Ste 150
Memphis, TN 38128-5041
Mailing address
610 Bonnie Rd
Oakland, TN 38060-4512
Other practice location 1
5144 Riverdale Rd Ste 150
Memphis, TN 38141-8599
Phone (901) 310-1441
Other practice location 2
14710 Highway 194
Oakland, TN 38060-4134
Phone (901) 530-1037
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
Networks
- LA PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1033690375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 BONNIE RD",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380604512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 COVINGTON PIKE STE 150",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381285041",
"telephone_number": "901-310-1441"
}
],
"practiceLocations": [
{
"address_1": "5144 Riverdale Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381418599",
"country_code": "US",
"telephone_number": "901-310-1441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14710 Highway 194",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "TN",
"postal_code": "380604134",
"country_code": "US",
"telephone_number": "901-530-1037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDDLESTON",
"first_name": "MADELINE",
"middle_name": "DELPHIME",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.