Active NPI
W Michael Madden, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1407878861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34375
- Practice address
- 925 W 34TH St
Den248
Los Angeles, CA 90089-0058 - Phone
- (213) 740-8665
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34375 | CA | Primary |
Addresses
Primary practice location
925 W 34TH St
Den248
Los Angeles, CA 90089-0058
Mailing address
925 W 34TH St
Den248
Los Angeles, CA 90089-0058
Phone (213) 740-8665
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 |
|---|---|---|---|
| 34375 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1407878861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 W 34TH ST",
"address_2": "DEN248",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890058",
"telephone_number": "213-740-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 W 34TH ST",
"address_2": "DEN248",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890058",
"telephone_number": "213-740-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "W MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "34375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.