Active NPI
Felix C. Madrid, D.D.S.
- General Practice Dentistry
- Rio Rancho, NM
National Provider Identifier
1528088903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD1864
- Practice address
- 2345 Southern Blvd SE Ste B1
Rio Rancho, NM 87124-3761 - Phone
- (505) 892-0111
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD1864 | NM | Primary |
Addresses
Primary practice location
2345 Southern Blvd SE Ste B1
Rio Rancho, NM 87124-3761
Mailing address
10905 Farola Dr NW
Albuquerque, NM 87114-6501
Phone (505) 899-5833
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596127 | Other | NM | UNITED CONCORDIA |
| 810M | Other | NM | BLUE CROSS BLUE SHIELD |
| 3272 | Medicaid | NM |
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 |
|---|---|---|---|
| DD1864 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Dental, LLC | General Practice | Past | Accepting new patients |
| Felix C. Madrid, D.D.S.,P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Rio Rancho, NM
- NPI 1164650388
-
- General Practice Dentistry
- Rio Rancho, NM
- NPI 1124779210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528088903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10905 FAROLA DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871146501",
"telephone_number": "505-899-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 SOUTHERN BLVD SE STE B1",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243761",
"telephone_number": "505-892-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "FELIX",
"middle_name": "C.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD1864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "596127",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "810M",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3272",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.