Gouda Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48456 Issued in CA

Legal business name

GOUDA DENTAL CORPORATION

Practice address

5452 California Ave
Bakersfield, CA 93309-1618

Phone

(661) 322-2300

Fax

(661) 322-2350

NPI assigned

Jul 26, 2016

Organization subpart

Yes

Parent organization

GOUDA DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ms. Anaberta Champion

Title

Office Manager

Phone

(559) 782-9297

Specialties & licenses 1

Addresses

Other names 1

• Gouda's Family Dentistry Doing business as

Part of

Gouda Dental Corporation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gouda Dental Corporation

  • General Practice Dentistry
  • Porterville, CA
  • NPI 1700068475
  NPPES parent name

Practitioners 1

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

• Iliana Hernandez Infante, DDS

  • Dentist
  • Bakersfield, CA
  • NPI 1326591389
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1154874162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091618",
            "telephone_number": "661-322-2300",
            "fax_number": "661-322-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091618",
            "telephone_number": "661-322-2300",
            "fax_number": "661-322-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUDA DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOUDA DENTAL CORPORATION",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "ANABERTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-782-9297",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gouda's Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Leath Goslin
• Katherine A Gosney, RN
• Dwayne Anthony Gotay
• Jasmin Eileen Gotico, LVN
• Tyler Goucher, AMFT
• Brianna Gouk
• Emma Goulart
• Mark Oliver Gour, DC
• Caryn Gover, MS-CCC-SLP
• Govindan Balasubramanian MD Inc

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.