MADISON PEDIATRIC DENTISTRY PLLC
NPI 1902369994
Dentist - Pediatric Dentistry in Phoenix, AZ

Active since April 08, 2019
635 E MARYLAND AVE, PHOENIX, AZ 85012(602) 313-8707 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Pediatric Dentistry Pllc NPPES

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

MADISON PEDIATRIC DENTISTRY PLLC (NPI 1902369994), doing business as Madison Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Phoenix, Arizona and active in the NPI registry since April 2019. The organization lists Rishi Popat, President, as its authorized official.

NPPES Registry Identity

NPI1902369994
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMADISON PEDIATRIC DENTISTRY PLLC
Location Address635 E MARYLAND AVEPhoenix, AZ 85012-1133
Mailing Address635 E Maryland AvePhoenix, AZ 85012-1133 · (602) 313-8707
Organization SubpartNo
Authorized OfficialRishi PopatPresident · (602) 697-8149
Enumeration DateApril 8, 2019
NPI 1902369994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
635 E MARYLAND AVE, Phoenix, AZ 85012

Other Names 1

Doing Business AsMadison Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Dentist (Pediatric Dentistry)
635 E MARYLAND AVE
PHOENIX, AZ 85012
Dentist
635 E MARYLAND AVE
PHOENIX, AZ 85012
Dentist (Orthodontics and Dentofacial Orthopedics)
635 E MARYLAND AVE
PHOENIX, AZ 85012

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 Madison Pediatric Dentistry PLLC's NPI number?

The NPI number for Madison Pediatric Dentistry PLLC is 1902369994. It was assigned to this organization in the NPPES registry on April 8, 2019. The provider is doing business as Madison Pediatric Dentistry.

Where is Madison Pediatric Dentistry PLLC located?

Madison Pediatric Dentistry PLLC is located at 635 E Maryland Ave, Phoenix, AZ 85012. The listed phone number is (602) 313-8707.

What is Madison Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Madison Pediatric Dentistry PLLC was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.