Organization Active NPI

David J. Goodkind, MD, PC

  • Plastic and Reconstructive Surgery Physician
  • Branford, CT
National Provider Identifier
1013213834
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
024179 Issued in CT
Legal business name
DAVID J. GOODKIND, MD, PC
Practice address
2 Chestnut St
Branford, CT 06405-3796
Phone
(203) 871-3799
Fax
(203) 646-9719
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. David J Goodkind, M.D.
Title
Owner
Phone
(203) 871-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 024179 CT Primary

Addresses

Primary practice location

2 Chestnut St
Branford, CT 06405-3796

Mailing address

2 Chestnut St
Branford, CT 06405-3796
Phone (203) 871-3799

Other identifiers 1

IdentifierTypeStateIssuer
001241793MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1013213834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHESTNUT ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053796",
            "telephone_number": "203-871-3799",
            "fax_number": "203-646-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHESTNUT ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053796",
            "telephone_number": "203-871-3799",
            "fax_number": "203-646-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. GOODKIND, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "GOODKIND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-871-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "024179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001241793",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.