Eli Eliel Madera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

PENDING Issued in CT

Practice address

160 East Ave
Norwalk, CT 06851-5715

Phone

(203) 866-9254

NPI assigned

Sep 11, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• A Dental Care

  • General Practice Dentistry
  • Norwalk, CT
  • NPI 1497060008
  NPD (past)
• A Plus Dental Care of Norwalk PC

  • General Practice Dentistry
  • Norwalk, CT
  • NPI 1871881433
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1184273138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVERGREEN LN",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682381",
            "telephone_number": "203-970-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515715",
            "telephone_number": "203-866-9254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066065369",
            "country_code": "US",
            "telephone_number": "203-576-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADERA",
        "first_name": "ELI",
        "middle_name": "ELIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Coakley-Laub Macisaac, LCSW
• Stephen Michael Mackowiak, PHARMD.
• Megan Maclachlan, MSN, RN, IBCLC
• Alexander Macleod, DC
• Margaret Macmillen, LCSW
• Josias Eugenio Madera, DMD
• Maerowitz-Klein DDS,PC
• Danelle Elizabeth Magnifico, PTA
• Melissa Anne Mahon, MS, CCC-SLP
• Tammy Mahroos, CRNA

• General Practice Dentistry in Norwalk, CT
• Providers in Norwalk, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.