Nancy Madera, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34997 Issued in CA

Practice address

931 San Bruno Ave W
Suite 6
San Bruno, CA 94066-3440

Phone

(650) 737-0862

Fax

(650) 737-6080

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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 CA

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

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740328152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W",
            "address_2": "SUITE 6",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663440",
            "telephone_number": "650-737-0862",
            "fax_number": "650-737-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W",
            "address_2": "SUITE 6",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663440",
            "telephone_number": "650-737-0862",
            "fax_number": "650-737-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Macias
• Rebecca Macias
• Shirley Maciel, CCAPP
• Samantha Macomber
• Virginia V. Madayag, DDS
• Matthew Madrid
• Jasmine Anaiz Maduro
• Marbella Ramirez Magana
• Charlotte Faith Magoolaghan
• Anjanette Jacel Magpantay

• General Practice Dentistry in San Bruno, CA
• Providers in San Bruno, 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 Jul 8, 2007; 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.