Goad Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GOAD FAMILY DENTISTRY LLC

Practice address

6904 S East St Ste F
Indianapolis, IN 46227-2694

Phone

(317) 788-4239

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Blake Westra, DMD

Title

Owner

Phone

(217) 348-7770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1104411982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E JASPER ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442437",
            "telephone_number": "217-463-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 S EAST ST STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272694",
            "telephone_number": "317-788-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAD FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-348-7770",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glynn'S Healing Hands LLC.
• Kristi M Gmutza, ATR-BC
• Victor Gnanapragasam, PT
• Ehud Gnessin, M.D.
• Jonathan Christian Go, DO
• Michael Logan Goad, D.D.S.
• Cary E Goar, SURGICAL TECHNICIAN
• Camille Gober
• Shelbi Goble, LMHC
• God Power Care Services LLC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.