Individual provider Active NPI

P Chuck Madden, DDS

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1770613390
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30 . 019683 Issued in OH
Practice address
6839 Wooster Pike
Cincinnati, OH 45227-4328
Phone
(513) 271-6322
Fax
(513) 271-6373
NPI assigned
Mar 6, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30 . 019683 OH Primary

Addresses

Primary practice location

6839 Wooster Pike
Cincinnati, OH 45227-4328

Mailing address

6839 Wooster Pike
Cincinnati, OH 45227-4328
Phone (513) 271-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150414001809 OH Order and Referring Only - DentistPractitioner - Dentist 0941526214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30 . 019683OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Charles Madden DDS Inc General Practice Past Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1770613390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 WOOSTER PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452274328",
            "telephone_number": "513-271-6322",
            "fax_number": "513-271-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 WOOSTER PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452274328",
            "telephone_number": "513-271-6322",
            "fax_number": "513-271-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "P",
        "middle_name": "CHUCK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30 . 019683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.