Individual provider Active NPI

Ryan Welch Gould, DMD

  • Dentist
  • Princeton, NJ
National Provider Identifier
1225713852
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03017400 Issued in NJ
Practice address
601 Ewing St Ste B16
Princeton, NJ 08540-2755
Phone
(609) 921-0034
NPI assigned
Jun 20, 2023
Last updated
Apr 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LD00213 RI
Dentist 122300000X 22DI03017400 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X LD00213 RI

Addresses

Primary practice location

601 Ewing St Ste B16
Princeton, NJ 08540-2755

Mailing address

601 Ewing St Ste B16
Princeton, NJ 08540-2755
Phone (609) 921-0034

Other practice location 1

2346 US Highway 9
Howell, NJ 07731-4017
Phone (732) 683-1130

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI03017400NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1225713852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE B16",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402755",
            "telephone_number": "609-921-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE B16",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402755",
            "telephone_number": "609-921-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2346 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077314017",
            "country_code": "US",
            "telephone_number": "732-683-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "RYAN",
        "middle_name": "WELCH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "LD00213",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03017400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": "LD00213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.