Joel Gould DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48276 Issued in CA

Legal business name

JOEL GOULD DDS INC

Doing business as

Modern American Dentistry

Practice address

1200 Rosecrans Ave
Suite 107
Manhattan Beach, CA 90266-2462

Phone

(310) 640-0967

Fax

(310) 607-9292

NPI assigned

Nov 18, 2015

Last updated

Nov 18, 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

Dr. Joel David Gould, DDSNPI 1720159031

Title

President

Phone

(310) 640-0967

Specialties & licenses 1

Addresses

Other names 1

• Modern American Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel David Gould, DDS

  • General Practice Dentistry
  • Manhattan Beach, CA
  • NPI 1720159031
  NPD (past) Authorized official

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1255705935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 107",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "310-640-0967",
            "fax_number": "310-607-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 107",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "310-640-0967",
            "fax_number": "310-607-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL GOULD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-640-0967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern American Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jax Orthopedics, Inc.
• Elizabeth Jemielita, LMFT
• Christian Jaaziel Jimenez, BCBA
• Joanna M. Wong, M.D. a Medical Corp.
• Joel D. Gould, D.D.S.
• John J.R., M.D., a Medical Corporation (John Joseph Rehm, M.D.)
• Christine Johnson, AMFT
• Kimberly Ann Johnson, LMFT
• Ann Tucker Jones, R.N.
• Elaine K Jones, MD

• General Practice Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.