Dennis J Madden, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2895 Issued in MN

Practice address

2330 Troop Dr Unit 105a
Sartell, MN 56377-4733

Phone

(320) 217-8480

Fax

(320) 217-8490

NPI assigned

May 17, 2011

Last updated

May 17, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4

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.

• Rejuv Medical, P.a.

  • Medical Specialty Clinic/Center
  • Waite Park, MN
  • NPI 1033355086
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1093008518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 TROOP DR UNIT 105A",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774733",
            "telephone_number": "320-217-8480",
            "fax_number": "320-217-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 TROOP DR UNIT 105A",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774733",
            "telephone_number": "320-217-8480",
            "fax_number": "320-217-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "DENNIS",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Matthew Lutsch, RN
• Kelsey R Lynch, MSW, LICSW
• Alyssa Bailey Lynn
• McKenzie Lyon
• Sara Maciej, DNP, APRN
• Christie Marie Mader, PTA
• Timothy Magarian
• Fatma Ehab Amin Mahmoud
• Stephenie Jane Maile
• Marea Maki

• Registered Dietitian in Sartell, MN
• Providers in Sartell, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.