Individual provider Active NPI

Madeline Delphime Huddleston, DDS

  • Dentist
  • Memphis, TN
National Provider Identifier
1033690375
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10844 Issued in TN
Practice address
3030 Covington Pike Ste 150
Memphis, TN 38128-5041
Phone
(901) 310-1441
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.