Dr. Alvin S. Goodman, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2833 Issued in NC

Legal business name

DR. ALVIN S. GOODMAN, P.A.

Practice address

3535 Randolph Rd.
Suite R-101
Charlotte, NC 28211-1032

Phone

(704) 366-3452

Fax

(704) 366-3065

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alvin S Goodman, D.D.S.,M.SC.D.

Title

Owner

Phone

(704) 366-3452

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144421678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD",
            "address_2": "SUITE R-101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111032",
            "telephone_number": "704-366-3452",
            "fax_number": "704-366-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD.",
            "address_2": "SUITE R-101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111032",
            "telephone_number": "704-366-3452",
            "fax_number": "704-366-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALVIN S. GOODMAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-366-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.SC.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.