Active NPI
Margaret Tess Medo, DMD
- Dentist
- Madison, WI
National Provider Identifier
1730757220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1002555-15
- Practice address
- 344 S Yellowstone Dr
Madison, WI 53705-4321 - Phone
- (608) 836-5700
- NPI assigned
- Jun 11, 2021
- Last updated
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1002555-15 | WI | Primary |
Addresses
Primary practice location
344 S Yellowstone Dr
Madison, WI 53705-4321
Mailing address
3024 Moses Xing
Stevens Point, WI 54481-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002555-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Fear Dentistry Madison West LLC | Dentist | Current | Accepting new patients |
Locations
344 S Yellowstone Dr
Madison, WI 53705
Phone (608) 338-0629
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1730757220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 MOSES XING",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 S YELLOWSTONE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537054321",
"telephone_number": "608-836-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDO",
"first_name": "MARGARET",
"middle_name": "TESS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1002555-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.