Individual provider Active NPI

Joel Marshall Madsen, DMD

  • General Practice Dentistry
  • Mapleton, MN
National Provider Identifier
1174364764
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15095 Issued in MN
Practice address
102 Main St E
Mapleton, MN 56065-2058
Phone
(507) 524-3830
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 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

LicenseStateTypeSpecialty
D15095MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Minnesota Surgical Inc Past Accepting new patients
Blue Earth Family Dental Inc General Practice PastSince Apr 16, 2023 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.

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.

Verify at the official NPI Registry.