Ethan Madison, DDS Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

ETHAN MADISON, DDS INC

Practice address

350 S Beverly Dr Ste 160
Beverly Hills, CA 90212-4815

Phone

(310) 713-9548

NPI assigned

Jul 28, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Sean Madison, DDS

Title

President

Phone

(310) 713-9548

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1285556563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S BEVERLY DR STE 160",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124815",
            "telephone_number": "310-713-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BEVERLY DR STE 160",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124815",
            "telephone_number": "310-713-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN MADISON, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-713-9548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Periodontics in California

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

Verify at the official NPI Registry.