Timothy Blake Maddox, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4944 Issued in AL

Practice address

211 N Main Street
Warrior, AL 35180

Phone

(205) 647-3181

Fax

(205) 647-1134

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gadsden Family Dentistry, LLC

  dba Gadsden Family Dentistry

  • Dental Clinic/Center
  • Gadsden, AL
  • NPI 1154992055
  NPD (past)
• Warrior Family Dentistry

  • General Practice Dentistry
  • Warrior, AL
  • NPI 1841383809
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912090986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N MAIN STREET",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "35180",
            "telephone_number": "205-647-3181",
            "fax_number": "205-647-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N MAIN STREET",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "35180",
            "telephone_number": "205-647-3181",
            "fax_number": "205-647-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "TIMOTHY",
        "middle_name": "BLAKE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Elizabeth Kennedy, DPT
• Jennifer A Knowlton, RPT
• Emily Larue
• Lawrence .E. Anderson .D.C. P.C.
• Jing Li, DMD
• Jenna McAnnally
• Megan Lenita McClendon, CRNP
• Ashley McDuff, MCD, CCC-SLP
• Mills Pharmacy at Corner LLC (Mills Pharmacy at Corner)
• Jared Murrell, DMD

• General Practice Dentistry in Warrior, AL
• Providers in Warrior, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.