NPIMap

Organization Active NPI

George Goodkin DPM Dom PC

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1386948842
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
532 Issued in NM
Legal business name
GEORGE GOODKIN DPM DOM PC
Practice address
7520 Montgomery Blvd NE
BLDG D-12
Albuquerque, NM 87109-1521
Phone
(505) 881-9764
Fax
(505) 881-9774
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 532 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE
BLDG D-12
Albuquerque, NM 87109-1521

Mailing address

7520 Montgomery Blvd NE
BLDG D-12
Albuquerque, NM 87109-1521
Phone (505) 881-9764

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": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1386948842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "BLDG D-12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-881-9764",
            "fax_number": "505-881-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "BLDG D-12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-881-9764",
            "fax_number": "505-881-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GOODKIN DPM DOM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "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": "DFPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "532",
            "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 Dec 27, 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.