Individual provider Active NPI

John Thomas Badger, D.M.D.

  • Dentist
  • Wakefield, MA
National Provider Identifier
1689039653
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10000046 Issued in MA
Practice address
968 Main St
Wakefield, MA 01880-3989
Phone
(781) 549-8390
NPI assigned
Dec 17, 2015
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31569 TX
Dentist 122300000X DN10000046 MA Primary

Addresses

Primary practice location

968 Main St
Wakefield, MA 01880-3989

Mailing address

9318 Meadowbriar LN
Houston, TX 77063-3936
Phone (207) 272-2532

Other practice location 1

9318 Meadowbriar Ln
Houston, TX 77063-3936
Phone (207) 272-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170705003315 TX Order and Referring Only - DentistPractitioner - Dentist 9335418441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31569TXMDPsychologist
DN10000046MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1689039653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 MEADOWBRIAR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633936",
            "telephone_number": "207-272-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803989",
            "telephone_number": "781-549-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9318 Meadowbriar Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770633936",
            "country_code": "US",
            "telephone_number": "207-272-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADGER",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31569",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.