Individual provider Active NPI

Christopher Alan Madani, DDS

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1831746510
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60972435 Issued in WA
Practice address
16500 SE 15TH St Ste 180
Vancouver, WA 98683-9666
Phone
(360) 614-2519
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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 60972435 WA Primary

Addresses

Primary practice location

16500 SE 15TH St Ste 180
Vancouver, WA 98683-9666

Mailing address

16500 SE 15TH St Ste 180
Vancouver, WA 98683-9666

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

LicenseStateTypeSpecialty
60972435WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Dental Vancouver CurrentSince Jun 7, 2020 Accepting new patients

Locations

16500 SE 15th St
Ste 180
Vancouver, WA 98683
Phone (360) 614-2519

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1831746510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 180",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 180",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839666",
            "telephone_number": "360-614-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANI",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60972435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.