NPIMap

Organization Active NPI

Goodman Dental Care LLC

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1144625807
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5906 Issued in MD
Legal business name
GOODMAN DENTAL CARE LLC
Practice address
2530 Riva Rd
Suite # 201
Annapolis, MD 21401-7413
Phone
(410) 263-1919
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. A. Gary Goodman, DDS
Title
Owner
Phone
(410) 263-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5906 MD Primary

Addresses

Primary practice location

2530 Riva Rd
Suite # 201
Annapolis, MD 21401-7413

Mailing address

2530 Riva Rd
Suite # 201
Annapolis, MD 21401-7413
Phone (410) 263-1919

National Provider Directory

National Provider Directory

Locations

2530 Riva Rd
Ste 201
Annapolis, MD 21401
Phone (410) 263-1919

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1144625807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 RIVA RD",
            "address_2": "SUITE # 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017413",
            "telephone_number": "410-263-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 RIVA RD",
            "address_2": "SUITE # 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017413",
            "telephone_number": "410-263-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-263-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.