Organization Active NPI

Alex T Gould DMD PLC

  • General Practice Dentistry
  • Reed City, MI
National Provider Identifier
1265064976
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEX T GOULD DMD PLC
Practice address
4909 N Park St
Reed City, MI 49677-7505
Phone
(231) 832-9912
Fax
(231) 832-5165
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Alex Gould, DMDNPI 1831504075
Title
Sole Member
Phone
(231) 832-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4909 N Park St
Reed City, MI 49677-7505

Mailing address

PO Box 207
Reed City, MI 49677-0207
Phone (231) 832-9912

National Provider Directory

National Provider Directory

Locations

4909 N Park St
Reed City, MI 49677
Phone (231) 832-9912

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1265064976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496770207",
            "telephone_number": "231-832-9912",
            "fax_number": "231-832-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 N PARK ST",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496777505",
            "telephone_number": "231-832-9912",
            "fax_number": "231-832-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX T GOULD DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "231-832-9912",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.