Individual provider Active NPI

Maddison Anne McConnaughhay, DDS

  • Pediatric Dentistry
  • Avondale, AZ
National Provider Identifier
1366014383
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D012194 Issued in AZ
Practice address
1579 N Dysart Rd Ste F
Avondale, AZ 85392-1221
Phone
(623) 935-9873
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7730 NE
Pediatric Dentistry 1223P0221X D012194 AZ Primary

Addresses

Primary practice location

1579 N Dysart Rd Ste F
Avondale, AZ 85392-1221

Mailing address

17 W Vernon Ave Unit 606
Phoenix, AZ 85003-0011
Phone (402) 705-3018

Other practice location 1

15264 W Brookside Ln
Surprise, AZ 85374-3989
Phone (623) 935-9873

Other practice location 2

1024 N San Francisco St Ste 101
Flagstaff, AZ 86001-3266
Phone (928) 779-0395

Other practice location 3

5315 E High St Ste 115
Phoenix, AZ 85054-5482
Phone (480) 585-5868

Other practice location 4

8248 W Deer Valley Rd
Peoria, AZ 85382-2198
Phone (623) 935-9873

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maddimcconnaughhay@outlook.com

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

LicenseStateTypeSpecialty
D012194AZMDPediatric Dentist
7730NEMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1366014383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W VERNON AVE UNIT 606",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850030011",
            "telephone_number": "402-705-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 N DYSART RD STE F",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921221",
            "telephone_number": "623-935-9873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15264 W Brookside Ln",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743989",
            "country_code": "US",
            "telephone_number": "623-935-9873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 N San Francisco St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013266",
            "country_code": "US",
            "telephone_number": "928-779-0395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5315 E High St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850545482",
            "country_code": "US",
            "telephone_number": "480-585-5868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8248 W Deer Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822198",
            "country_code": "US",
            "telephone_number": "623-935-9873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNAUGHHAY",
        "first_name": "MADDISON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "7730",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D012194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maddimcconnaughhay@outlook.com",
            "affiliation": "N",
            "address_1": "5315 E High St Ste 115",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850545482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

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