Rosalie Goode, DT, RDH

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT0001 Issued in OR

Practice address

2565 NE Butler Market Rd
Bend, OR 97701-1587

Phone

(541) 317-1887

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1255117800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63314 LAMOINE LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 NE BUTLER MARKET RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011587",
            "telephone_number": "541-317-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "ROSALIE",
        "credential": "DT, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "OR",
            "license": "DT0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Gonsky, DO
• Caroline Gonyea, DPT, PT
• Angelica Chan Gonzales, ND, RN
• Rodrigo Gonzalez-Juarez, MSW
• Christine Goodall, PA-C
• Douglas Goodgion
• Lori Jana Goodman, MD
• Mark Goodman, LCSW
• Mark Quincy Goodman, M.D.
• Susan Kathleen Goodman, M.A.

• Dental Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Dental Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.