Goodis Robert K Gen PTR

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GOODIS ROBERT K GEN PTR

Practice address

3724 Katella Ave
Los Alamitos, CA 90720-3102

Phone

(562) 936-0071

Fax

(562) 866-8190

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nate I Weiner, DDS

Title

Owner

Phone

(562) 936-0071

Specialties & licenses 1

Addresses

Other names 1

• Los Alamitos Dental Arts Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1295949857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203102",
            "telephone_number": "562-936-0071",
            "fax_number": "562-866-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203102",
            "telephone_number": "562-936-0071",
            "fax_number": "562-866-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODIS ROBERT K GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "NATE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-936-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamitos Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.