Joseph D. Madison, DMD, LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401006578 Issued in VA

Legal business name

JOSEPH D. MADISON, DMD, LTD.

Practice address

11800 Sunrise Valley Dr
Suite 1137
Reston, VA 20191-5300

Phone

(703) 391-8836

Fax

(703) 391-6802

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Dwayne Madison, D.M.D.NPI 1891988614

Title

President

Phone

(703) 391-8836

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph D Madison, D.M.D

  • General Practice Dentistry
  • Reston, VA
  • NPI 1891988614
  NPD (past) Authorized official
• Robert James Banks, DMD

  • General Practice Dentistry
  • Reston, VA
  • NPI 1720148786
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1659567972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR",
            "address_2": "SUITE 1137",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915300",
            "telephone_number": "703-391-8836",
            "fax_number": "703-391-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR",
            "address_2": "SUITE 1137",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915300",
            "telephone_number": "703-391-8836",
            "fax_number": "703-391-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D. MADISON, DMD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-391-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401006578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandyce Jones, LGPC
• Leslie B. Jones, LPC
• Richard Torrence Jones, DDS
• Lantie Elisabeth Jorandby, MD
• Samira Joron-Badr, LPC
• Alan None Joshua, M.D.
• Jowdy Chiropractic Center, LLC
• Juan a Trinidad MD PC
• Juan Jose de Leon Diaz
• Amber June, LCSW, MAC

• All providers in Reston, VA
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.