Active NPI
Daniel M Gold MD PA
- Eyewear Supplier
- Crockett, TX
National Provider Identifier
1083745848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DANIEL M GOLD MD PA
- Practice address
- 407 Gossett Ave
Crockett, TX 75835-1507 - Phone
- (936) 545-2020
- Fax
- (903) 545-9352
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel M Gold, MD
- Title
- Owner
- Phone
- (903) 723-3250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | TX | Primary |
Addresses
Primary practice location
407 Gossett Ave
Crockett, TX 75835-1507
Mailing address
501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 723-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085168502 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Palestine Eye Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Palestine, TX
- NPI 1538383633
-
- Eyewear Supplier
- Rusk, TX
- NPI 1386860419
Locations
1501 E Loop 304
Crockett, TX 75835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1083745848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E KOLSTAD ST",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758012352",
"telephone_number": "903-723-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 GOSSETT AVE",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758351507",
"telephone_number": "936-545-2020",
"fax_number": "903-545-9352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL M GOLD MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-723-3250",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085168502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crockett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.