Joseph Timothy Madden, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D11749 Issued in MN

Practice address

2720 Annapolis Cir N Ste a
Plymouth, MN 55441-2501

Phone

(763) 546-7707

Fax

(763) 546-7713

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stephen P. Boger, DDS, PA

  dba Boger Dental

  • Dentist
  • Plymouth, MN
  • NPI 1164758199
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1669441549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 ANNAPOLIS CIR N STE A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412501",
            "telephone_number": "763-546-7707",
            "fax_number": "763-546-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 ANNAPOLIS CIR N STE A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412501",
            "telephone_number": "763-546-7707",
            "fax_number": "763-546-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JOSEPH",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lyons, LPCC
• Jill Marie Lytwyn
• Mitchell William Macbeth, PA-C
• Jessica Kaitlyn Macentee, MD
• John Francisco Mack
• Madeline Gartner Surgery PLLC
• Michele Mader
• Amy T Madson, LMFT FAMI
• Angela Mae, CMT
• Steven Maershbecker, PHARM.D.

• Dentist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.