Kristen Elizabeth Maddux, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414814 Issued in VA

Practice address

1169 Nimmo Pkwy Ste 242
Virginia Beach, VA 23456-7760

Phone

(703) 855-8192

NPI assigned

Apr 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1649561440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 NIMMO PKWY STE 242",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567760",
            "telephone_number": "703-855-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 NIMMO PKWY STE 242",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567760",
            "telephone_number": "703-855-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4007",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adalia D Macrall
• Madame la Belle Wigs & Beauty Lounge, LLC
• Alexandra Madden, DPT
• Harmony M Madden, PA-C
• Jazzmin Star Maddox, LPC
• Nicholas Maddux, D.D.S.
• Madix Professional Service Company
• Eric M Madren, MD
• Damien Tredon Madry Jr.
• Esther Oluwatoni Madugu, MD

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.