Organization Active NPI

Michael M. Gooding DMD L.T.D

  • Dentist
  • Warwick, RI
National Provider Identifier
1184107880
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MICHAEL M. GOODING DMD L.T.D
Practice address
1422 Warwick Ave
Warwick, RI 02888-5026
Phone
(401) 463-7678
Fax
(401) 463-3897
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Mrs. Elissa Marie Jubinville
Title
Office Manager
Phone
(401) 463-7678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1422 Warwick Ave
Warwick, RI 02888-5026

Mailing address

1422 Warwick Ave
Warwick, RI 02888-5026
Phone (401) 463-7678

Other identifiers 2

IdentifierTypeStateIssuer
1407997687OtherRIPERSONAL NPI
1700362639OtherRIPERSONAL NPI MIA GOODING

National Provider Directory

National Provider Directory

Locations

1422 Warwick Ave
Warwick, RI 02888
Phone (401) 463-7678

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": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1184107880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885026",
            "telephone_number": "401-463-7678",
            "fax_number": "401-463-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885026",
            "telephone_number": "401-463-7678",
            "fax_number": "401-463-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. GOODING DMD L.T.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "JUBINVILLE",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-463-7678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1407997687",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI MIA GOODING",
            "identifier": "1700362639",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.