Organization Active NPI

Godel & Associates III PLLC

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1033977327
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GODEL & ASSOCIATES III PLLC
Doing business as
Raleigh Family Dental Care
Practice address
1617 Ronald Dr
Raleigh, NC 27609-6224
Phone
(919) 899-8063
NPI assigned
Mar 11, 2024
Organization subpart
Yes
Parent organization
CHAPEL HILL FAMILY DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Erica Beach
Title
Operation Manager
Phone
(704) 689-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1617 Ronald Dr
Raleigh, NC 27609-6224

Mailing address

6655 E Wilkinson Blvd
Belmont, NC 28012-4706
Phone (704) 689-1412

Other names 1

  • Raleigh Family Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Godel Associates LLL PLLC2 organizations share this tax ID, including this one
Part of
Godel Associates LLL PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1033977327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 E WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124706",
            "telephone_number": "704-689-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 RONALD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096224",
            "telephone_number": "919-899-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODEL & ASSOCIATES III PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAPEL HILL FAMILY DENTAL CARE",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "704-689-1412"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.