Roland Caryle McGoodwin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

67630139 Issued in OH

Practice address

2805 Gilbert Ave
Cincinnati, OH 45206-1210

Phone

(513) 281-4116

Fax

(513) 475-5982

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1205879939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-221-4949",
            "fax_number": "513-241-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 GILBERT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061210",
            "telephone_number": "513-281-4116",
            "fax_number": "513-475-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOODWIN",
        "first_name": "ROLAND",
        "middle_name": "CARYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "67630139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor H McGlinchey
• Megan Suzanne McGlone
• Anthony Kawan McGlothin
• Morgan McGlothlin, PHARMD
• Winifred Lucia McGoff, LSW
• John Michael McGovern, D.O.
• Kerri Anne McGovern, MD
• Mark E McGovern, M.D.
• Erin McGowan, RN
• Janai McGowan

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.