Active NPI
Bryan D Goldsmith, D.D.S.
- General Practice Dentistry
- Green Valley, AZ
National Provider Identifier
1083717037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5210
- Practice address
- 518 E Whitehouse Canyon Rd
Suite. 190
Green Valley, AZ 85614-0533 - Phone
- (520) 399-4100
- Fax
- (520) 399-4103
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D5210 | AZ | Primary |
Addresses
Primary practice location
518 E Whitehouse Canyon Rd
Suite. 190
Green Valley, AZ 85614-0533
Mailing address
518 E. Whitehouse Canyon Road
Suite. 190
Green Valley, AZ 85614
Phone (520) 399-4100
Other names 1
- Dr. Bryan D Goldsmith
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5210 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083717037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 E. WHITEHOUSE CANYON ROAD",
"address_2": "SUITE. 190",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-399-4100",
"fax_number": "520-399-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 E WHITEHOUSE CANYON RD",
"address_2": "SUITE. 190",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856140533",
"telephone_number": "520-399-4100",
"fax_number": "520-399-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "BRYAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D5210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRYAN",
"last_name": "GOLDSMITH",
"middle_name": "D",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Green Valley, AZ
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.