Active NPI
Nathan Phillip Madder, D.M.D.
- Dentist
- Richland, WA
National Provider Identifier
1265582241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010244
- Practice address
- 660 Swift Blvd
Richland, WA 99352-3560 - Phone
- (509) 943-9300
- Fax
- (509) 943-6030
- NPI assigned
- Jan 11, 2007
- Last updated
- Oct 5, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010244 | WA | Primary |
Addresses
Primary practice location
660 Swift Blvd
Richland, WA 99352-3560
Mailing address
660 Swift Blvd
Richland, WA 99352-3560
Phone (509) 943-9300
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 |
|---|---|---|---|
| DE00010244 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madder, Barney, DMD, PLLC | 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": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1265582241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523560",
"telephone_number": "509-943-9300",
"fax_number": "509-943-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523560",
"telephone_number": "509-943-9300",
"fax_number": "509-943-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDER",
"first_name": "NATHAN",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00010244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.