Zachary Ethan Goldman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1855610 Issued in MA

Practice address

605 Broadway
Suite 301
Saugus, MA 01906-3283

Phone

(781) 233-6844

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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 and National Provider Directory roles.

• Amlani - Patel PC

  • General Practice Dentistry
  • Saugus, MA
  • NPI 1518365055

  General Practice

  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1265743231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BROADWAY",
            "address_2": "SUITE 301",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063283",
            "telephone_number": "781-233-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BROADWAY",
            "address_2": "SUITE 301",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063283",
            "telephone_number": "781-233-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ZACHARY",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1855610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Fernando Gervasio-Flores, DMD
• Joseph Dominic Giunta, PHARM.D.
• Goldberg Family Chiropractic Corp
• Andrew Joseph Goldberg, DC
• Bruce Jay Goldman, D.D.S.
• Jacinta A Grant, M.D.
• Greater Boston Eye Care, LLC
• Ralph E Green Jr., DDS
• Shannon Denice Griffith, LCSW
• Marianne Grise, PT

• All providers in Saugus, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.