Michelle Goodman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHELLE GOODMAN

Practice address

8680 Baymeadows Rd E Apt 2223
Jacksonville, FL 32256-4014

Phone

(904) 521-2477

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Goodman

Title

Dentist

Phone

(904) 521-2477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1215386420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 BAYMEADOWS RD E APT 2223",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 BAYMEADOWS RD E APT 2223",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564014",
            "telephone_number": "904-521-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE GOODMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-521-2477"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Michaud, LMT
• Ernst Berthony Michel, MD
• Karen J Michel
• Neemy Michel
• Michelle Barker Counseling & Consulting Services, LLC
• Michelle Johnson
• Michelle McLanahan, M.D., P.a.
• Jan K Michelsen, APRN
• Thomas A Michelsen, DO
• Jenna Michelson, LCSW

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.