William Francis Maddux, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

015200 Issued in MO

Practice address

1810 E 10TH St
Rolla, MO 65401-4603

Phone

(573) 364-1821

NPI assigned

Jan 30, 2006

Sex

Male

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 MO

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

State licenses

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.

• Dental Professionals of Missouri, Richard Straus, D.M.D., P.C.

  • General Practice Dentistry
  • Rolla, MO
  • NPI 1710582952
  NPD (past)
• Henry J Antolak DMD PC

  • Dentist
  • Rolla, MO
  • NPI 1033305511
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1770554560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 COUNTY ROAD 5110",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654015811",
            "telephone_number": "580-574-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014603",
            "telephone_number": "573-364-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "015200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey A. Lloyd-Smith, MD
• Sarah E. Loughridge, LPC
• Michaella Luder, BSN, RN
• Max A Lungren, MD
• Kenneth Ray Lyman, FNP-BC
• Zakary Maedgen, PA
• Christy Mahrt, AU.D.
• Mignon M Makos, MD
• Melissa R Maline, PTA
• Jeffrey Donald Mallory, MSPT

• Periodontics in Rolla, MO
• Providers in Rolla, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.