Individual provider Active NPI

Allan Charles Goldfeder, D.M.D

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1003979451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1000837 Issued in DE
Practice address
2415 Milltown Rd
Wilmington, DE 19808-3903
Phone
(302) 994-1782
Fax
(302) 994-0357
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1000837 DE Primary

Addresses

Primary practice location

2415 Milltown Rd
Wilmington, DE 19808-3903

Mailing address

2415 Milltown Rd
Wilmington, DE 19808-3903
Phone (302) 994-1782

Other identifiers 1

IdentifierTypeStateIssuer
0000936208MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1000837DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Dental General Practice PastSince Dec 1, 2019 Accepting new patients
Pinter Family Dental General Practice PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003979451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MILLTOWN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083903",
            "telephone_number": "302-994-1782",
            "fax_number": "302-994-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MILLTOWN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083903",
            "telephone_number": "302-994-1782",
            "fax_number": "302-994-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFEDER",
        "first_name": "ALLAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1000837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000936208",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.