Amber K Goode, RDH, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122225 Issued in GA

Practice address

3245 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-6541

Phone

(703) 517-5575

NPI assigned

Jul 2, 2012

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1205190477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHGROVE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244294",
            "telephone_number": "703-517-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 LAWRENCEVILLE SUWANEE RD STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246541",
            "telephone_number": "703-517-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "AMBER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "RDH, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413434",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001078",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gema Gomez
• Mateo Gomez, BCBA
• Amy Elizabeth Gonzalez, M.D.
• Katelin N Gonzalez, MS. CCC-SLP
• Marie I Gonzalez, LCSW
• Darrin L Goodwin, LPC
• Traci L Gordon
• Pamela Gorke
• Michael L Gorlovsky, D.M.D.
• Michelle Gormally, M.A., CCC-SLP

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.