Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295805216 Deactivated / Inactive NPI Male Practitioner

Dr. John T Madison , DDS

Dentist - General Practice • Shallotte, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Madison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2006
NPI Deactivation Date October 10, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Madison, DDS was a registered Dentist - General Practice practicing in Shallotte, NC. Throughout an active medical career spanning 11 years, Dr. Madison provided care at the practice location at 301 S WILLIS DR until profile deactivation on 2017-10-10.

Practice Location & Contact Primary Location

Practice Address

301 S Willis Dr
Suite 100

Shallotte, NC 284703407

Telephone 9107547700
Fax 9107547077
Associated Practice Facility / Clinic
🏢 Justice Pharmacy,inc. Facility NPI 1689188286

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shallotte, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Shallotte, NC (4047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 3089

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Angela Marone , DDS

Dentist - General Practice

NPI 1053614289

Doctor of Dental Surgery

Dr. David Violette , DDS

Dentist - General Practice

NPI 1255765574

Doctor of Dental Surgery

Dr. Marcus Ward , DMD

Dentist - General Practice

NPI 1831547082

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 10, 2017

Record deactivated on October 10, 2017

NPI Profile Active July 24, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2013

Registered at 301 S WILLIS DR, SUITE 100, SHALLOTTE, NC 284703407 (Tel: 9107547700)

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Updated Business Mailing Address July 24, 2013

Registered at 301 S WILLIS DR, SUITE 100, SHALLOTTE, NC 284703407 (Tel: 9107547700)

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Provider Name / Credentials Updated July 24, 2013

Recorded as JOHN MADISON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2013

Dentist (License #3089 in NC)

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Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295805216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 24, 2013
Deactivation Date: October 10, 2017

Mailing Address

301 S Willis Dr, Suite 100

Shallotte, NC 284703407

Phone: 9107547700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.