Jim Madany, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019181 Issued in MI

Practice address

4021 Miller Rd
Flint, MI 48507-1231

Phone

(810) 732-7300

NPI assigned

Sep 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Dental Group Associates PLLC

  • Dentist
  • Flint, MI
  • NPI 1154446151
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1164521738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071231",
            "telephone_number": "810-732-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071231",
            "telephone_number": "810-732-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANY",
        "first_name": "JIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "D800185",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tihesa Mack, LMSW,ACSW
• Amy M Mackie, NURSE PRACTITIONER
• Niketa Macklin
• Michael J Macksood, D.O.
• Macular Renewal Center PLLC
• Leo Maranon Madarang, MD
• Daniel Thomas Madaras
• Carl H Maddox, CCAR
• Fnu Madhumithaa Jagannathan, M.D.
• Erika Madigan, CCAR

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.