Richard Meredith Goldman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

005010 Issued in NY

Practice address

77 Patricia Cir
Fairfield, CT 06825-1186

Phone

(203) 373-6854

NPI assigned

Apr 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1386901619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068240518",
            "telephone_number": "203-373-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PATRICIA CIR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251186",
            "telephone_number": "203-373-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "RICHARD",
        "middle_name": "MEREDITH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "005010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Pediatrics LLC
• Nora Goddard, LPC
• Lisa B Gold, M.A.
• George M Goldfarb, MD
• Adam Goldman, MD
• Robert Stacy Goldsmith, M.D.
• Colleen Gomola, MS, CCC-SLP
• Michelle Goncalves, APRN
• Anda Raluca Gonciulea, M.D
• Andrea Marion Goodman, MSW, LCSW

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.