Individual provider Active NPI

Craig J. Madsen, D.D.S.

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1134337041
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3033 Issued in WI
Practice address
310 N Midvale Blvd
Suite 204
Madison, WI 53705-3265
Phone
(608) 274-5474
Fax
(608) 274-4461
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3033 WI Primary

Addresses

Primary practice location

310 N Midvale Blvd
Suite 204
Madison, WI 53705-3265

Mailing address

310 N Midvale Blvd
Suite 204
Madison, WI 53705-3265
Phone (608) 274-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315002323 WI Order and Referring Only - DentistPractitioner - Dentist 7719283845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3033WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Madsen & Hirsch, S.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1134337041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MIDVALE BLVD",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053265",
            "telephone_number": "608-274-5474",
            "fax_number": "608-274-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N MIDVALE BLVD",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053265",
            "telephone_number": "608-274-5474",
            "fax_number": "608-274-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "CRAIG",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.