Joan P Goldstein D.D.S.,P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019020341 Issued in IL

Legal business name

JOAN P GOLDSTEIN D.D.S.,P.C.

Practice address

1032 Deerfield Rd
Highland Park, IL 60035-3578

Phone

(312) 945-9563

NPI assigned

Dec 8, 2014

Last updated

Dec 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joan Phyllis Goldstein, DDS

Title

Owner

Phone

(312) 945-9563

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1003214057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023745",
            "telephone_number": "312-945-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 DEERFIELD RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353578",
            "telephone_number": "312-945-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN P GOLDSTEIN D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-945-9563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.