NPIMap

Organization Active NPI

Madsen, Maxfield, Karlson, Clements, McManamon, PLLC

Doing business as Prime Dental Kennewick

  • General Practice Dentistry
  • Kennewick, WA
National Provider Identifier
1811845308
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MADSEN, MAXFIELD, KARLSON, CLEMENTS, MCMANAMON, PLLC
Doing business as
Prime Dental Kennewick
Practice address
8511 W Clearwater Ave Ste a
Kennewick, WA 99336-9592
Phone
(509) 967-3421
NPI assigned
Mar 19, 2026
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Jeralynn Hernandez
Title
Head of Administrative Operations
Phone
(509) 967-3421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8511 W Clearwater Ave Ste a
Kennewick, WA 99336-9592

Mailing address

4476 W Van Giesen St
West Richland, WA 99353-5411
Phone (509) 967-3421

Other names 1

  • Prime Dental Kennewick Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1811845308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 W VAN GIESEN ST",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535411",
            "telephone_number": "509-967-3421",
            "fax_number": "509-967-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 W CLEARWATER AVE STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369592",
            "telephone_number": "509-967-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADSEN, MAXFIELD, KARLSON, CLEMENTS, MCMANAMON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JERALYNN",
        "authorized_official_title_or_position": "HEAD OF ADMINISTRATIVE OPERATIONS",
        "authorized_official_telephone_number": "509-967-3421"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental Kennewick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.