Matthew Phillip Goodrich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10153 Issued in NC

Practice address

125 Murray Hill Rd
Ste G
Southern Pines, NC 28387-6354

Phone

(910) 693-1977

NPI assigned

Jul 14, 2015

Last updated

Feb 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew Phillip Goodrich

  dba Goodrich Dental

  • Dentist
  • Southern Pines, NC
  • NPI 1497115273
  NPD (past) Authorized official

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1245614742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MURRAY HILL RD",
            "address_2": "UNIT G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MURRAY HILL RD",
            "address_2": "STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876354",
            "telephone_number": "910-693-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "MATTHEW",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Alaine Godfrey, RBT
• Fred Palmer Goins III
• Stephanie Gombosi, DC
• Bianca Gomez
• Anna Goodrich, DDS
• Dorian D Gorevin, PT, MSPT, OCS
• Lequita Gould
• Jennifer Gradolf, M.S.
• Shelby Kailin Grandolfo
• Jason Richard Graves, DMD

• Dentist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.