Active NPI
John Alton Maddox, DMD
- General Practice Dentistry
- Fairhope, AL
National Provider Identifier
1487640801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4858
- Practice address
- 8076B Spring Run Rd
Fairhope, AL 36532-3854 - Phone
- (251) 990-8181
- Fax
- (251) 990-8181
- NPI assigned
- Sep 21, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4858 | AL | Primary |
Addresses
Primary practice location
8076B Spring Run Rd
Fairhope, AL 36532-3854
Mailing address
8076B Spring Run Rd
Fairhope, AL 36532-3854
Phone (251) 990-8181
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WEB1MADX | Other | AL | SOUTHLAND |
| WEB1MADX | Other | AL | WAUSAU |
| JOHNANDNATALIE03 | Other | AL | METLIFE |
| WEB1MADX | Other | AL | AETNA |
| 51511632 | Other | AL | BLUE CROSS BLUE SHIELD |
| MADDOX99 | Other | AL | DELTA DENTAL |
| WEB1MADX | Other | AL | UNITED CANCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150520001616 | AL | Order and Referring Only - Other (Physician) | 6103146899 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4858 | AL | MD | Educational Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a. Maddox, DMD LLC | General Practice | Current | Accepting new patients |
Locations
8076 Spring Run Dr
Ste B
Fairhope, AL 36532
Phone (251) 990-8181
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Fairhope, AL
- NPI 1467447144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487640801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8076B SPRING RUN RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323854",
"telephone_number": "251-990-8181",
"fax_number": "251-990-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8076B SPRING RUN RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323854",
"telephone_number": "251-990-8181",
"fax_number": "251-990-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "JOHN",
"middle_name": "ALTON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHLAND",
"identifier": "WEB1MADX",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU",
"identifier": "WEB1MADX",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METLIFE",
"identifier": "JOHNANDNATALIE03",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "WEB1MADX",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51511632",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "MADDOX99",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CANCORDIA",
"identifier": "WEB1MADX",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.