NPIMap

Organization Active NPI

Madison Family Dental Associates

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1306838396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MADISON FAMILY DENTAL ASSOCIATES
Practice address
5709 Odana Rd
Madison, WI 53719-1238
Phone
(608) 274-5970
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary L Reinsmoen
Title
Administrator
Phone
(608) 274-5970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5709 Odana Rd
Madison, WI 53719-1238

Mailing address

5709 Odana Rd
Madison, WI 53719-1238
Phone (608) 274-5970

National Provider Directory

National Provider Directory

Locations

5709 Odana Rd
Madison, WI 53719
Phone (608) 274-5970

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306838396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191238",
            "telephone_number": "608-274-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191238",
            "telephone_number": "608-274-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FAMILY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REINSMOEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-274-5970"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.