James S Madigan, D.D.S.
Individual provider Active NPI General Practice Dentistry · Orrville, OH
NPI 1174529952 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1174529952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12911 (OH)
- Practice address
- 310 Maple St
Orrville, OH 44667-1456 - Phone
- (330) 682-0911
- Fax
- (330) 682-1811
- NPI assigned
- Jun 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 18, 2015 through Jun 18, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12911 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Dental Orrville Betty J Qadri DDS LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12911 | OH | Yes |
Addresses
Primary practice location
310 Maple St
Orrville, OH 44667-1456
Mailing address
310 Maple St
Orrville, OH 44667-1456
Phone (330) 682-0911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015638 | Medicaid | OH |
Other providers in Orrville, OH
- Robert Findley Lindsay
- Subrena Faye Long
- Barbara Lorson
- John Dee Lyons
- M. Tereletsky, D.O., LLC
- Main Street Business Group LLC
- Main Street Pharmacy & Wellness Center LLC
- Kelsie Majercak
- Angela Marmet
- Regina Suzanne Martin
All providers in Orrville, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.