Individual provider Active NPI

Diogo DO Nascimento Machado Gouveia, DDS

  • Prosthodontics
  • Columbus, OH
National Provider Identifier
1235785957
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30.025932 Issued in OH
Practice address
305 W 12TH Ave Ofc 3005D
Columbus, OH 43210-1267
Phone
(614) 247-1730
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 30.025932 OH Primary

Addresses

Primary practice location

305 W 12TH Ave Ofc 3005D
Columbus, OH 43210-1267

Mailing address

55 E 9TH Ave Apt 207
Columbus, OH 43201-2167
Phone (734) 972-7944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230424002043 TX Order and Referring Only - DentistPractitioner - Dentist 6305201575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39094TXMDPsychologist
30.025932OHMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1235785957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 9TH AVE APT 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012167",
            "telephone_number": "734-972-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE OFC 3005D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-247-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO NASCIMENTO MACHADO GOUVEIA",
        "first_name": "DIOGO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30.025932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.