Individual provider Active NPI

James Bryan Madril, DMD, MS, BS

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1285243907
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010795 Issued in AZ
Practice address
1218 W Irvington Rd
Tucson, AZ 85714-1136
Phone
(520) 330-3307
NPI assigned
Jul 28, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D010795 AZ Primary

Addresses

Primary practice location

1218 W Irvington Rd
Tucson, AZ 85714-1136

Mailing address

6074 E Hermans Rd
Tucson, AZ 85756-9138
Phone (520) 975-1292

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
D010795AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1285243907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6074 E HERMANS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857569138",
            "telephone_number": "520-975-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141136",
            "telephone_number": "520-330-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIL",
        "first_name": "JAMES",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.