DR. RONALD CRAIG MADDOX D.D.S.
NPI 1861697112
Dentist - Orthodontics and Dentofacial Orthopedics in San Dimas, CA

Active since June 18, 2007PECOS Enrolled
1111 W COVINA BLVD, SUITE 110, SAN DIMAS, CA 91773(909) 394-7710(909) 394-7703 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald Craig Maddox D.d.s. NPPES

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

DR. RONALD CRAIG MADDOX D.D.S. (NPI 1861697112) is an individual orthodontics and dentofacial orthopedics provider in San Dimas, California, licensed in California (32353) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861697112
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. RONALD CRAIG MADDOXCredential: D.D.S.
Location Address1111 W COVINA BLVD, SUITE 110San Dimas, CA 91773-3205
Mailing Address7 Scotia SeaNewport Coast, CA 92657-2104 · (949) 636-1911 · Fax (949) 497-9398
Fax(909) 394-7703
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1861697112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 32353
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1111 W COVINA BLVD, San Dimas, CA 91773

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ronald Craig Maddox D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Marriage & Family Therapist
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Dentist (General Practice)
1111 W COVINA BLVD, SUITE 210
SAN DIMAS, CA 91773
Marriage & Family Therapist
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Dentist (General Practice)
1111 W COVINA BLVD, SUITE 240
SAN DIMAS, CA 91773
Specialist/Technologist (Speech-Language Assistant)
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Dentist (Periodontics)
1111 W COVINA BLVD, SUITE 220
SAN DIMAS, CA 91773
Counselor (Mental Health)
1111 W COVINA BLVD
SAN DIMAS, CA 91773
Physical Therapist
1111 W COVINA BLVD, SUITE 100
SAN DIMAS, CA 91773

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 Ronald Maddox's NPI number?

The NPI number for Ronald Maddox is 1861697112. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Ronald Maddox located?

Ronald Maddox practices at 1111 W Covina Blvd Suite 110, San Dimas, CA 91773. The listed phone number is (909) 394-7710.

What is Ronald Maddox's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Ronald Maddox enrolled in Medicare?

Yes. Ronald Maddox is registered in the Medicare PECOS enrollment system.

What insurance does Ronald Maddox accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ronald Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Maddox was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.