Active NPI
Tracey Michelle Godwin, DDS
- General Practice Dentistry
- Cypress, TX
National Provider Identifier
1386973261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19756
- Practice address
- 23800 Northwest Fwy
201
Cypress, TX 77429-5747 - Phone
- (281) 304-6337
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19756 | TX | Primary |
Addresses
Primary practice location
23800 Northwest Fwy
201
Cypress, TX 77429-5747
Mailing address
23800 Northwest Fwy
201
Cypress, TX 77429-5747
Phone (281) 304-6337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19756 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1386973261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23800 NORTHWEST FWY",
"address_2": "201",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295747",
"telephone_number": "281-304-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 NORTHWEST FWY",
"address_2": "201",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295747",
"telephone_number": "281-304-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "TRACEY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.