Active NPI
David James Goydan, DMD
- Dentist
- Dallas, TX
National Provider Identifier
1134325830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- TX15792
- Practice address
- 5465 Blair Rd
#200
Dallas, TX 75231 - Phone
- (214) 691-1211
- Fax
- (214) 691-1279
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | TX15792 | TX | Primary |
Addresses
Primary practice location
5465 Blair Rd
#200
Dallas, TX 75231
Mailing address
5824 Gallant Fox LN
Plano, TX 75093
Phone (972) 250-0311
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 |
|---|---|---|---|
| TX15792 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134325830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5824 GALLANT FOX LN",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "972-250-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5465 BLAIR RD",
"address_2": "#200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-691-1211",
"fax_number": "214-691-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYDAN",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "TX15792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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.