Celebration Pediatric Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CELEBRATION PEDIATRIC DENTISTRY, PA

Practice address

1530 Celebration Blvd Ste 411
Celebration, FL 34747-5165

Phone

(407) 247-8219

Fax

(407) 566-4647

NPI assigned

Jan 25, 2025

Organization subpart

No

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

Authorized official

Name

Jonathan GoochNPI 1023216363

Title

President

Phone

(407) 247-8219

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jonathan Brent Gooch, D.M.D.

  • Dentist
  • Altamonte Springs, FL
  • NPI 1023216363
  NPD Authorized official

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1316759327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 411",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-247-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 411",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-247-8219",
            "fax_number": "407-566-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "GOOCH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-247-8219"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celebration Foot & Ankle Institute PA
• Celebration Minimally Invasive Spine Institute
• Celebration Obstetrics and Gynecology Associates PA
• Celebration Obstetrics and Gynecology Associates PA
• Celebration Orthopedic and Sports Medicine Institute Inc
• Celebration Pediatrics LLC
• Celebration Pediatrics PA
• Celebration Primary Care Associates
• Celebration Surgery Center LLC
• Celebration Surgery Center, LLC

• Pediatric Dentistry in Celebration, FL
• Providers in Celebration, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.