SAMUEL MADDEN
NPI 1164220075
Dentist - General Practice in Minot Afb, ND

Active since March 05, 2025
10 MISSILE AVE, MINOT AFB, ND 58705(701) 723-5565 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 13, 2026, Mar 5, 2025 (2 updates tracked since 2025).

About Samuel Madden NPPES

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

SAMUEL MADDEN (NPI 1164220075) is an individual general practice provider in Minot Afb, North Dakota, licensed in Minnesota (D15349) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1164220075
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAMUEL MADDEN
Location Address10 MISSILE AVEMinot Afb, ND 58705-5003
Mailing Address3501 Harbison Dr Unit 1903Vacaville, CA 95687-3938
Sole ProprietorYes
Enumeration DateMarch 5, 2025
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1164220075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D15349
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.
10 MISSILE AVE, Minot Afb, ND 58705

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
10 MISSILE AVE
MINOT AFB, ND 58705
Physician Assistant
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker
10 MISSILE AVE
MINOT AFB, ND 58705
Psychologist (Counseling)
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705
Physical Therapist
10 MISSILE AVE
MINOT AFB, ND 58705
General Practice
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Madden's NPI number?

The NPI number for Samuel Madden is 1164220075. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Samuel Madden located?

Samuel Madden practices at 10 Missile Ave, Minot Afb, ND 58705. The listed phone number is (701) 723-5565.

What is Samuel Madden's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Samuel Madden was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.