Organization Active NPI

Meredith Goodrich DMD, PA

Doing business as Erbes & Goodrich Dentistry

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1336579135
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16117 Issued in FL
Legal business name
MEREDITH GOODRICH DMD, PA
Doing business as
Erbes & Goodrich Dentistry
Practice address
2121 NW 40TH Ter
Ste a
Gainesville, FL 32605-5813
Phone
(352) 375-3758
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Meredith Goodrich, D.M.D.
Title
President
Phone
(352) 375-3758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN16117 FL Primary

Addresses

Primary practice location

2121 NW 40TH Ter
Ste a
Gainesville, FL 32605-5813

Mailing address

2121 NW 40TH Ter
Ste a
Gainesville, FL 32605-5813
Phone (352) 375-3758

Other names 1

  • Erbes & Goodrich Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2121 NW 40th Ter
Ste A
Gainesville, FL 32605
Phone (352) 375-3758

Practitioners & affiliated clinicians

Practitioners 1

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1336579135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NW 40TH TER",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055813",
            "telephone_number": "352-375-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NW 40TH TER",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055813",
            "telephone_number": "352-375-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH GOODRICH DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-375-3758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erbes & Goodrich Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.