NPIMap

Organization Active NPI

Madison Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1902369994
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MADISON PEDIATRIC DENTISTRY PLLC
Practice address
635 E Maryland Ave
Phoenix, AZ 85012-1133
Phone
(602) 313-8707
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Dr. Rishi Popat, DMD, DMSC.NPI 1942463393
Title
President
Phone
(602) 697-8149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

635 E Maryland Ave
Phoenix, AZ 85012-1133

Mailing address

635 E Maryland Ave
Phoenix, AZ 85012-1133
Phone (602) 313-8707

Other names 1

  • Madison Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1902369994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121133",
            "telephone_number": "602-313-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121133",
            "telephone_number": "602-313-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "POPAT",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-697-8149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DMSC."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.