NPIMap

Organization Active NPI

Madder, Barney, DMD, PLLC

  • Dental Clinic/Center
  • Kennewick, WA
National Provider Identifier
1942510029
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MADDER, BARNEY, DMD, PLLC
Practice address
9501 W Clearwater Ave
Ste A120
Kennewick, WA 99336
Phone
(509) 374-4077
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Dr. Nathan Madder, DMDNPI 1265582241
Title
Dentist
Phone
(509) 374-4077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010244 WA
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9501 W Clearwater Ave
Ste A120
Kennewick, WA 99336

Mailing address

7233 W Deschutes Ave
Suite E
Kennewick, WA 99336-6707
Phone (509) 374-4077

Other names 1

  • Kennewick Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9501 W Clearwater Ave
Ste A120
Kennewick, WA 99336
Phone (509) 374-4077

Practitioners & affiliated clinicians

Practitioners 4

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": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1942510029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 W DESCHUTES AVE",
            "address_2": "SUITE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366707",
            "telephone_number": "509-374-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W CLEARWATER AVE",
            "address_2": "STE A120",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-374-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDER, BARNEY, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "MADDER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-374-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010244",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennewick Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennewick Dental",
            "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 Oct 9, 2018; 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.