Godel & Associates II PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GODEL & ASSOCIATES II PLLC

Doing business as

Kannapolis Family Dental Care

Practice address

2320 Concord Lake Rd
Concord, NC 28025-2814

Phone

(704) 755-5400

NPI assigned

Jan 4, 2024

Organization subpart

Yes

Parent organization

CHARLOTTE FAMILY DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Erica Beach

Title

Operation Manger

Phone

(704) 689-1412

Specialties & licenses 1

Addresses

Other names 1

• Kannapolis Family Dental Care Doing business as

Tax ID family

Godel Associates II PLLC3 organizations share this tax ID, including this one

Part of

Godel Associates II PLLC

Other organizations with this tax ID 2

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

• Godel & Associates II PLLC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1821596115
  NPD tax ID
• Godel & Associates II PLLC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1851261903
  NPD tax ID

Locations

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1033989637",
    "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": "2320 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252814",
            "telephone_number": "704-755-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODEL & ASSOCIATES II PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE FAMILY DENTAL CARE",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OPERATION MANGER",
        "authorized_official_telephone_number": "704-689-1412"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kannapolis Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Medlin Glover, LCSWA, LCAS
• Shana Renee Glover, RN
• Charis Su-Hsieh GN, MD
• Go Medical Supply, Inc
• Godbolt Consultants, Inc.
• April L Godfrey, MSW, LCSWA
• Faith Johnson Godwin, LCMHCA
• William K Goglin Jr., MD
• Dijon Goins, LCMHCA
• Stacy Lynn Gola, R.PH.

• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.