Individual provider Active NPI

Andrew David Gould, DMD

  • Dentist
  • New Cumberland, PA
National Provider Identifier
1306944624
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029714L Issued in PA
Practice address
1902 Bridge St
New Cumberland, PA 17070-1127
Phone
(717) 774-7700
Fax
(717) 774-7747
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS029714L PA Primary

Addresses

Primary practice location

1902 Bridge St
New Cumberland, PA 17070-1127

Mailing address

1902 Bridge St
New Cumberland, PA 17070-1127
Phone (717) 774-7700

Other identifiers 1

IdentifierTypeStateIssuer
DS029714LOtherPAWWW.ANDREWDGOULDDMD.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS029714LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Dental Concepts LLC PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1306944624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701127",
            "telephone_number": "717-774-7700",
            "fax_number": "717-774-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701127",
            "telephone_number": "717-774-7700",
            "fax_number": "717-774-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029714L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WWW.ANDREWDGOULDDMD.COM",
            "identifier": "DS029714L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Cumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.