P M Goodman D.D.S. M.SC.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15975 Issued in OH

Legal business name

P M GOODMAN D.D.S. M.SC.

Practice address

900 E Alex Bell Rd
Dayton, OH 45459-2721

Phone

(937) 938-6433

NPI assigned

Jan 13, 2015

Last updated

Jan 13, 2015By 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

Phil Goodman, DDS MS

Title

Orthodontist

Phone

(937) 938-6433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1225427370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E ALEX BELL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ALEX BELL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592721",
            "telephone_number": "937-938-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P M GOODMAN D.D.S. M.SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "937-938-6433",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "15975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.