NPIMap

Organization Active NPI

George Goodkin DPM Dom

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1366744260
Registry record updated Nov 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
254 Issued in NM
Legal business name
GEORGE GOODKIN DPM DOM
Practice address
7520 Montgomery Blvd NE BLDG D12
Albuquerque, NM 87109-1534
Phone
(505) 353-1722
Fax
(505) 797-3566
NPI assigned
Nov 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2010

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

Authorized official

Name
Dr. George Goodkin, DPM DOM
Title
President
Phone
(505) 353-1722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 532 NM
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 254 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE BLDG D12
Albuquerque, NM 87109-1534

Mailing address

7520 Montgomery Blvd NE BLDG D12
Albuquerque, NM 87109-1534
Phone (505) 353-1722

National Provider Directory

National Provider Directory
Tax ID family
George Goodkin DPM Dom2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1290902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290902400000",
    "number": "1366744260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG D12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091534",
            "telephone_number": "505-353-1722",
            "fax_number": "505-797-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG D12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091534",
            "telephone_number": "505-353-1722",
            "fax_number": "505-797-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GOODKIN DPM DOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-28",
        "last_updated": "2010-11-28",
        "status": "A",
        "authorized_official_last_name": "GOODKIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-353-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "532",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2010; 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.