Individual provider Active NPI

John Alton Maddox, DMD

  • General Practice Dentistry
  • Fairhope, AL
National Provider Identifier
1487640801
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4858 Issued in AL
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WEB1MADXOtherALSOUTHLAND
WEB1MADXOtherALWAUSAU
JOHNANDNATALIE03OtherALMETLIFE
WEB1MADXOtherALAETNA
51511632OtherALBLUE CROSS BLUE SHIELD
MADDOX99OtherALDELTA DENTAL
WEB1MADXOtherALUNITED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520001616 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6103146899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4858ALMDEducational Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.