Active NPI
Joel Marshall Madsen, DMD
- General Practice Dentistry
- Mapleton, MN
National Provider Identifier
1174364764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D15095
- Practice address
- 102 Main St E
Mapleton, MN 56065-2058 - Phone
- (507) 524-3830
- NPI assigned
- Jun 5, 2024
- Last updated
- Jun 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D15095 | MN | Primary |
Addresses
Primary practice location
102 Main St E
Mapleton, MN 56065-2058
Mailing address
402 3Rd Ave SE
Mapleton, MN 56065-9751
Phone (952) 456-2531
Other practice location 1
519 S Galbraith St
Blue Earth, MN 56013-2155
Phone (507) 526-3111
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 |
|---|---|---|---|
| D15095 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Minnesota Surgical Inc | Past | Accepting new patients | |
| Blue Earth Family Dental Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mapleton Family Dental
- General Practice Dentistry
- Blue Earth, MN
- NPI 1326734559
-
- Specialist
- Blue Earth, MN
- NPI 1164758991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1174364764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 3RD AVE SE",
"city": "MAPLETON",
"state": "MN",
"postal_code": "560659751",
"telephone_number": "952-456-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MAIN ST E",
"city": "MAPLETON",
"state": "MN",
"postal_code": "560652058",
"telephone_number": "507-524-3830"
}
],
"practiceLocations": [
{
"address_1": "519 S Galbraith St",
"address_purpose": "LOCATION",
"city": "Blue Earth",
"state": "MN",
"postal_code": "560132155",
"country_code": "US",
"telephone_number": "507-526-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADSEN",
"first_name": "JOEL",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D15095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mapleton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.