DR. JOHN ALTON MADDOX (NPI# 1487640801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487640801 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALTON MADDOX |
| Credential | DMD |
| Practice Address |
8076b Spring Run Rd Fairhope AL 36532-3854 |
| Practice Telephone | 2519908181 |
| Practice Fax Number | 2519908181 |
| Mailing Telephone | 2519908181 |
| Mailing Fax Number | 2519908181 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4858 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | SOUTHLAND | WEB1MADX | 01 |
| AL | AETNA | WEB1MADX | 01 |
| AL | METLIFE | JOHNANDNATALIE03 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51511632 | 01 |
| AL | DELTA DENTAL | MADDOX99 | 01 |
| AL | UNITED CANCORDIA | WEB1MADX | 01 |
| AL | WAUSAU | WEB1MADX | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790837508 | John L. Maddox | Dermatology | 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 | 2007-01-18 |
| 1528122256 | John Specht Maddox | Surgery | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-12-20 |
| 1467546648 | John F. Maddox IIi | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-10-03 |
| 1477575868 | John F Maddox | Family Medicine | 835 S Three Notch St, Andalusia, AL 36420-5321 | 2006-07-24 |
| 1104801208 | John Mark Maddox | Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-12-12 |
| 1801887229 | John L Maddox | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2005-11-03 |
| 1053309542 | John Coulter Maddox | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| Street Address |
8076B SPRING RUN RD |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447144 | Dr.'s Blaum & Maddox | Dentist | 8076b Spring Run Rd, Fairhope, AL 36532-3854 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235435785 | Fairhope Cosmetic Dentistry and Fresh Beath Center | Dentist | 101 Fly Creek Avenue, Suite 301, Fairhope, AL 36532 | 2011-02-01 |
| 1134386899 | John Patrick Haley IIi | Dentist | 18467 Point Clear Ct, Fairhope, AL 36532-6847 | 2008-05-20 |
| 1740467786 | M. Scott Coleman | Dentist | 160 N Section St, Fairhope, AL 36532-2440 | 2008-01-22 |
| 1538294921 | C.d. Harrell IIi Dmd | Dentist | 71a N. Section St., Fairhope, AL 36532 | 2007-02-23 |
| 1942342357 | Michael Albert Nebrig | Dentist | 19354 S Greeno Rd, Fairhope, AL 36532-3834 | 2007-02-13 |
| 1295890515 | Northcutt Dental Practice | Dentist | 23678 Us Highway 98, Fairhope, AL 36532-3336 | 2006-12-27 |
| 1447337498 | Alan B Melton | Dentist | 307 N Section St, Fairhope, AL 36532-2634 | 2006-11-01 |
| 1023106135 | Fritz Roland Harshberger | Dentist | 24208 Us Highway 98 Ste C, Fairhope, AL 36532-3467 | 2006-10-11 |
| 1487762977 | Eugene Willis Brabston Jr. | Dentist | 506 N Section St, Fairhope, AL 36532-2616 | 2006-08-26 |
| 1407889223 | William T Wilson | Dentist | 108 Professional Park Dr, Fairhope, AL 36532-1922 | 2006-07-07 |
| Find all providers in FAIRHOPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.