Active NPI
Madeline Micheline Stead Macbride, DDS
- Dentist
- Cedar Rapids, IA
National Provider Identifier
1104486752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-09667
- Practice address
- 1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009 - Phone
- (319) 730-7300
- NPI assigned
- Jun 17, 2019
- 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 | DDS-09667 | IA | Primary |
Addresses
Primary practice location
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Mailing address
1101 Yewell Street
Iowa City, IA 52240
Phone (612) 618-8524
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09667 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1104486752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 YEWELL STREET",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "612-618-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 3RD AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524034009",
"telephone_number": "319-730-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACBRIDE",
"first_name": "MADELINE",
"middle_name": "MICHELINE STEAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-09667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.