Mark Alexander Madion, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600397 Issued in MI

Practice address

5698W US Highway 2
Manistique, MI 49854-9116

Phone

(906) 341-8469

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By the provider in NPPES

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

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

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1205475332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BLOOMFIELD RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862833",
            "telephone_number": "231-632-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5698W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498549116",
            "telephone_number": "906-341-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADION",
        "first_name": "MARK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis P Kusnier, M.D.
• Gregory David La Fayette, DDS
• Shalee Sun Lang, NP
• Jakyser Lett
• Little Ones of the Up, LLC
• Maline Family Chiropractic PLLC
• Jonathan C Maline, DC
• Manistique Dental Center, P.C.
• Manistique Pharmaceuticals Inc (Putvin Drug Store)
• Manistique Pharmaceuticals Inc. (Putvin Drug Store)

• General Practice Dentistry in Manistique, MI
• Providers in Manistique, 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 Jan 7, 2020; 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.