Andrew Quentin Madson, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D12547 Issued in MN

Practice address

6600 France Ave S Ste 280
Edina, MN 55435-1812

Phone

(952) 236-5686

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 6, 2019 through Mar 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Blaine, MN
  • NPI 1467563510
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Cambridge, MN
  • NPI 1508160060
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Waconia, MN
  • NPI 1770694812
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Maple Grove, MN
  • NPI 1902917057
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1376790543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 COUNTY ROAD D W STE 12",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123517",
            "telephone_number": "612-788-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 280",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351812",
            "telephone_number": "952-236-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 S Maple St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Waconia",
            "state": "MN",
            "postal_code": "553871762",
            "country_code": "US",
            "telephone_number": "952-442-5448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13784 83rd Way N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697192",
            "country_code": "US",
            "telephone_number": "763-494-8825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 County Road D W",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551123517",
            "country_code": "US",
            "telephone_number": "612-788-9246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 2nd Ave NE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550088071",
            "country_code": "US",
            "telephone_number": "763-691-8827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 Aberdeen St NE Ste 130",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554494813",
            "country_code": "US",
            "telephone_number": "763-757-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSON",
        "first_name": "ANDREW",
        "middle_name": "QUENTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D12547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teija Madhusoodanan
• Jose Manuel Madrigal Zuniga, RN
• Pauline Madrinich, PTA
• Emily Madsen, MS, RD, LDN
• Katherine Madsen
• Shari Madson, NP
• Octavia Magee, BT
• Paul Robert Magee, DIPL. AC., L.AC.
• Domitila Maghanga
• Molly J Magnani, DC

• Oral and Maxillofacial Surgery (Dentist) in Edina, MN
• Providers in Edina, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.