Larry J. Goates, D.D.S, M.S.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10922 Issued in TX

Practice address

422 Washington Dr
Arlington, TX 76011-2252

Phone

(817) 465-2300

Fax

(817) 801-4908

NPI assigned

May 16, 2007

Last updated

Mar 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1083821524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WASHINGTON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112252",
            "telephone_number": "817-988-1961",
            "fax_number": "817-801-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WASHINGTON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112252",
            "telephone_number": "817-465-2300",
            "fax_number": "817-801-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOATES",
        "first_name": "LARRY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.