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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ETHAN SEAN MADISON DDS
NPI 1356034789
Dentist - Periodontics in Beverly Hills, CA

Active since May 31, 2023
350 S BEVERLY DR STE 160, BEVERLY HILLS, CA 90212(310) 553-2940 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Oct 25, 2023, May 31, 2023 (3 updates tracked since 2023).

About Dr. Ethan Sean Madison Dds NPPES

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

DR. ETHAN SEAN MADISON DDS (NPI 1356034789) is an individual periodontics provider in Beverly Hills, California, licensed in Alabama (D.007218-C1) and active in the NPI registry since May 2023. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356034789
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ETHAN SEAN MADISONCredential: DDS
Location Address350 S BEVERLY DR STE 160Beverly Hills, CA 90212-4815
Mailing Address350 S Beverly Dr Ste 160Beverly Hills, CA 90212-4815 · (310) 713-9548
Phone(310) 553-2940
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1356034789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in AL · D.007218-C1✔ Licensed in CA · 109310
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
350 S BEVERLY DR STE 160, Beverly Hills, CA 90212
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Secondary Practice Locations 2

Location 144244 Division StLancaster, CA 93535-3525 · Phone (310) 713-9548
Location 22732 Santa Anita AveEl Monte, CA 91733-2262 · Phone (626) 444-2605

Other Providers at the Same Location NPPES 3

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

ETHAN MADISON, DDS INC
Dentist (Periodontics)
350 S BEVERLY DR STE 160
BEVERLY HILLS, CA 90212
Los Angeles County (310) 713-9548
DR. MILES MADISON DDS
Dentist (Periodontics)
350 S BEVERLY DR STE 160
BEVERLY HILLS, CA 90212
Los Angeles County (310) 553-2940
MILES MADISON D D S INC
Dentist (Oral and Maxillofacial Surgery)
350 S BEVERLY DR STE 160
BEVERLY HILLS, CA 90212
Los Angeles County (310) 553-2940

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 Ethan Madison's NPI number?

The NPI number for Ethan Madison is 1356034789. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Ethan Madison located?

Ethan Madison practices at 350 S Beverly Dr Ste 160, Beverly Hills, CA 90212. The listed phone number is (310) 553-2940.

What is Ethan Madison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Ethan Madison was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.