Individual provider Active NPI

Alexander Garcia-Godoy, D.D.S.

  • Endodontics
  • Tamarac, FL
National Provider Identifier
1376983254
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
23172 Issued in FL
Practice address
7737 N University Dr Ste 204
Tamarac, FL 33321-2957
Phone
(954) 720-1500
Fax
(954) 720-5464
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 23172 FL Primary

Addresses

Primary practice location

7737 N University Dr Ste 204
Tamarac, FL 33321-2957

Mailing address

7737 N University Dr Ste 204
Tamarac, FL 33321-2957
Phone (954) 720-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108002435 FL Order and Referring Only - DentistPractitioner - Dentist 0244576585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23172FLMDEndodontist
9712TNMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1376983254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212957",
            "telephone_number": "954-720-1500",
            "fax_number": "954-720-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212957",
            "telephone_number": "954-720-1500",
            "fax_number": "954-720-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-GODOY",
        "first_name": "ALEXANDER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "23172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.