Active NPI
Maddison Anne McConnaughhay, DDS
- Pediatric Dentistry
- Avondale, AZ
National Provider Identifier
1366014383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D012194
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D012194 | AZ | MD | Pediatric Dentist |
| 7730 | NE | MD | Internal 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.