Andreea Mada, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009472 Issued in CT

Practice address

112 South Whitney St.
Hartford, CT 06105

Phone

(860) 247-5930

Fax

(860) 232-3266

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1619031861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTH WHITNEY ST.",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-247-5930",
            "fax_number": "860-232-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH WHITNEY ST.",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-247-5930",
            "fax_number": "860-232-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADA",
        "first_name": "ANDREEA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002094720",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valencia Reon Mack
• Carole Mackenzie, LCSW
• Rita Faith Macrae, LPN
• Emily Ann Macvane, MSW
• Brigitte Maczaj, MD
• Jennifer E. Madan Cohen, MD
• Jessica Maddela, PA-C
• Marcia Madden-Baggett, BSC HRM
• Katerina Elizabeth Mary Maddern, DNP, AGNP-C
• Claudia Andrea Madrid

• General Practice Dentistry in Hartford, CT
• Providers in Hartford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.