Madrigal Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MADRIGAL DENTAL CORPORATION

Doing business as

Providence Family Dental and Implants

Practice address

1213 Coffee Rd Ste N
Modesto, CA 95355-4229

Phone

(209) 577-0833

NPI assigned

Dec 2, 2025

Last updated

Dec 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Apolinar Madrigal, DDSNPI 1083123939

Title

Ceo

Phone

(209) 577-0833

Specialties & licenses 1

Addresses

Other names 1

• Providence Family Dental and Implants Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Apolinar Madrigal, DDS

  • General Practice Dentistry
  • Ceres, CA
  • NPI 1083123939
  NPD Authorized official
• Andrew A Smith, DDS

  • Dentist
  • Modesto, CA
  • NPI 1619755014
  NPD
• Dennis Wayne Hobby, DDS

  • Dentist
  • Modesto, CA
  • NPI 1386722387
  NPD (past)

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1720940471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 COFFEE RD STE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554229",
            "telephone_number": "209-577-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 COFFEE RD STE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554229",
            "telephone_number": "209-577-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRIGAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "APOLINAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-577-0833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Family Dental and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Maderos
• Madeline Elizabeth Madewell
• Madhuri Kamatham
• Dawnlysette Madrid
• Myri Madrid
• Teresa Madrigal Farias
• Michell Stephanie Madrigal Jaimez
• Blanca Madrigal
• Donnia Sarah Madrigal
• Esteban Madrigal

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.