Goode Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9436 Issued in OR

Legal business name

GOODE FAMILY DENTAL LLC

Practice address

7417 Crater Lake Hwy
White City, OR 97503-1662

Phone

(541) 830-0043

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Goode, DDSNPI 1124339122

Title

Owner

Phone

(541) 830-0043

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Garrett Goode, DDS

  • General Practice Dentistry
  • White City, OR
  • NPI 1124339122
  NPD (past) Authorized official

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1154694776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031662",
            "telephone_number": "541-830-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031662",
            "telephone_number": "541-830-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-830-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gifford
• Francis Stanley Gilbert, PH.D.
• Simone Gillingham, RD, LD
• Ashley Taylor Glazener, PHARMD
• Jaimie Terra Good, RN
• Michael Garrett Goode, DDS
• Victor Collins Gordon, RN
• Jennifer Anne Graham
• Jacob Graves, PA
• Michael E Greer II, LCSW

• General Practice Dentistry in White City, OR
• Providers in White City, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.