Mayra Madalena

Primary specialty

DentistTaxonomy code 122300000X

License

0401417562 Issued in VA

Practice address

520 N 12TH St
Richmond, VA 23298-5064

Phone

(786) 587-5303

NPI assigned

Jun 17, 2021

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1669040481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 LAUREL BED LN UNIT B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232275607",
            "telephone_number": "786-587-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "786-587-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADALENA",
        "first_name": "MAYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackell Training & Consultants Inc.
• Frederica Mackert, D.D.S.
• Erin K. Macmillan, PA-C
• Mark Philip Macmillan, O.D.
• Christine Macri, L.C.S.W.
• Ritu Madan, MBBS
• Joy Madden-Palmer, BA, ICADC
• Upendra Maddineni, M.D.
• Notley Glawson Maddox Jr., PA
• Kaitlyn Michelle Maddra

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.