Rachael Maddox, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D011409 Issued in AZ

Practice address

15331 W Bell Rd Ste 112
Surprise, AZ 85374-4103

Phone

(602) 806-1275

NPI assigned

Jun 7, 2022

Sex

Female

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

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1033848809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 112",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 112",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744103",
            "telephone_number": "602-806-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6677 W Thunderbird Rd Ste A124",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853063710",
            "country_code": "US",
            "telephone_number": "623-400-6972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "RACHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Macfarlane, CCC-SLP
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• Megan Macilroy
• Megan Carlene Mackay, LPC
• Antoni Macko, MD
• Madhuri Dhupati & Associates MD PC.
• Mae'S Place
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• Magnolia Manor LLC
• Magnolia Sage Psychiatry LLC

• Pediatric Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.