Active NPI
Rush David Goodman, D.M.D.
- General Practice Dentistry
- Playa del Rey, CA
National Provider Identifier
1215276571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32082
- Practice address
- 8405 Pershing Drive
Suite #403.
Playa del Rey, CA 90293-7862 - Phone
- (310) 821-3427
- NPI assigned
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32082 | CA | Primary |
Addresses
Primary practice location
8405 Pershing Drive
Suite #403.
Playa del Rey, CA 90293-7862
Mailing address
8405 Pershing Drive
Suite #403
Playa del Rey, CA 90293-7862
Phone (310) 821-3427
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 |
|---|---|---|---|
| 32082 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1215276571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 PERSHING DRIVE",
"address_2": "SUITE #403",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937862",
"telephone_number": "310-821-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 PERSHING DRIVE",
"address_2": "SUITE #403.",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937862",
"telephone_number": "310-821-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "RUSH",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.