Craig P Goldin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14085 Issued in MI

Practice address

3415 Livernois Rd
Troy, MI 48083-5063

Phone

(248) 519-1919

Fax

(248) 519-1920

NPI assigned

Nov 21, 2006

Last updated

Aug 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Institute Dentistry Cosmetic Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dental Professionals of Michigan, P.C.

  dba Cosmetic Dentistry Institute

  • General Practice Dentistry
  • Troy, MI
  • NPI 1528131364
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1003981424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835063",
            "telephone_number": "248-519-1919",
            "fax_number": "248-519-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835063",
            "telephone_number": "248-519-1919",
            "fax_number": "248-519-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "CRAIG",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INSTITUTE",
            "last_name": "COSMETIC",
            "middle_name": "DENTISTRY",
            "prefix": "PROF.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Golden Age Home Care Agency, LLC
• Golden Pines Senior Living LLC
• Golden Touch Home Health Care, LLC
• Theodore Alan Golden, MD
• Raya Goldenberg, LMSW ACSW
• Marcy Goldin, D.D.S.
• Gregory J Golen
• Carleigh Anna Gollin, LCSW
• Rocio Isabel Gomez-Woody, FNP
• Michael Gomez, PA-C

• General Practice Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.