Individual provider Active NPI

Alecia Danielle Goldsmith, RDH

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1144769183
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2920 Issued in OK
Practice address
819 NW 53Rd St
Oklahoma City, OK 73118-6010
Phone
(405) 517-8935
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2920 OK
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2920 OK Primary

Addresses

Primary practice location

819 NW 53Rd St
Oklahoma City, OK 73118-6010

Mailing address

819 NW 53Rd St
Oklahoma City, OK 73118-6010
Phone (405) 517-8935

Other practice location 1

4913 W Reno Ave
Oklahoma City, OK 73127-6339
Phone (405) 948-4900 ext. 237

Other names 1

  • Alecia Danielle Rankin Former name

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

LicenseStateTypeSpecialty
2920OKMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1144769183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NW 53RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186010",
            "telephone_number": "405-517-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 NW 53RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186010",
            "telephone_number": "405-517-8935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4913 W Reno Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731276339",
            "country_code": "US",
            "telephone_number": "405-948-4900 x237",
            "fax_number": "405-948-4938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "ALECIA",
        "middle_name": "DANIELLE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OK",
            "license": "2920",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALECIA",
            "last_name": "RANKIN",
            "middle_name": "DANIELLE",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.