NICHOLAS CHARLES MADERE DDS
NPI 1154983054
Dentist - General Practice in Austin, TX

Active since July 01, 2019
11645 ANGUS ROAD, SUITE 10, AUSTIN, TX 78759(512) 426-8982 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2021, Jul 23, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Nicholas Charles Madere Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS CHARLES MADERE DDS (NPI 1154983054) is an individual general practice provider in Austin, Texas, licensed in Texas (35332) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1154983054
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICHOLAS CHARLES MADERECredential: DDS
Location Address11645 ANGUS ROAD, SUITE 10Austin, TX 78759
Mailing Address11645 Angus Road, Suite 10Austin, TX 78759 · (512) 426-8982
Sole ProprietorNo
Enumeration DateJuly 1, 2019
Last NPPES UpdateFebruary 16, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1154983054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 35332
Definition

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.

11645 ANGUS ROAD, Austin, TX 78759

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11645 ANGUS ROAD, SUITE 7
AUSTIN, TX 78759

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154983054, enumerated as an "individual" on July 01, 2019.

The provider is located at 11645 ANGUS ROAD SUITE 10 AUSTIN, TX 78759 and the phone number is (512) 426-8982.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.