Active NPI
Madeline Marie Birong, DDS
- General Practice Dentistry
- Urbana, OH
National Provider Identifier
1255228532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.027986
- Practice address
- 300 Patrick Ave
Urbana, OH 43078-2339 - Phone
- (937) 653-7623
- NPI assigned
- Jun 19, 2025
- Last updated
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 30.027986 | OH | Primary |
Addresses
Primary practice location
300 Patrick Ave
Urbana, OH 43078-2339
Mailing address
300 Patrick Ave
Urbana, OH 43078-2339
Phone (937) 653-7623
Other practice location 1
848 Scioto St
Urbana, OH 43078-2255
Phone (937) 653-7623
Other practice location 2
545 W Siebenthaler Ave Ste B
Dayton, OH 45405-1865
Phone (937) 275-8521
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 |
|---|---|---|---|
| 30.027986 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TD Dental LLC | Dental Public Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1255228532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PATRICK AVE",
"city": "URBANA",
"state": "OH",
"postal_code": "430782339",
"telephone_number": "937-653-7623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PATRICK AVE",
"city": "URBANA",
"state": "OH",
"postal_code": "430782339",
"telephone_number": "937-653-7623"
}
],
"practiceLocations": [
{
"address_1": "848 Scioto St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "OH",
"postal_code": "430782255",
"country_code": "US",
"telephone_number": "937-653-7623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 W Siebenthaler Ave Ste B",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454051865",
"country_code": "US",
"telephone_number": "937-275-8521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRONG",
"first_name": "MADELINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.027986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.