Active NPI
David Goodman, DMD
- Dentist
- Sharon, MA
National Provider Identifier
1164160966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859710
- Practice address
- 450 N Main St Ste 4
Sharon, MA 02067-1172 - Phone
- (781) 784-3330
- NPI assigned
- May 23, 2022
- Last updated
- May 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS043602 | PA | |
| Dentist | 122300000X | DN1859710 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
450 N Main St Ste 4
Sharon, MA 02067-1172
Mailing address
450 N Main St Ste 4
Sharon, MA 02067-1172
Other practice location 1
3501 Terrace Street
G-32, Salk Hall
Pittsburgh, PA 15261
Phone (412) 648-8604
Other practice location 2
122 Chelmsford St
Chelmsford, MA 01824-2732
Phone (978) 616-4946
Other practice location 3
100 Grossman Dr Ste 210
Braintree, MA 02184-4961
Phone (781) 412-7901
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859710 | MA | MD | Dentist |
| DS043602 | PA | MD | Dentist |
Interoperability endpoints
- david.s.goodman@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1164160966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N MAIN ST STE 4",
"city": "SHARON",
"state": "MA",
"postal_code": "020671172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N MAIN ST STE 4",
"city": "SHARON",
"state": "MA",
"postal_code": "020671172",
"telephone_number": "781-784-3330"
}
],
"practiceLocations": [
{
"address_1": "3501 Terrace Street",
"address_2": "G-32, Salk Hall",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15261",
"country_code": "US",
"telephone_number": "412-648-8604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "122 Chelmsford St",
"address_purpose": "LOCATION",
"city": "Chelmsford",
"state": "MA",
"postal_code": "018242732",
"country_code": "US",
"telephone_number": "978-616-4946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Grossman Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021844961",
"country_code": "US",
"telephone_number": "781-412-7901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "DAVID",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-23",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043602",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859710",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.