Organization Active NPI

Stephen L. Goldfaden, DDS,PA

  • Endodontics
  • Gainesville, FL
National Provider Identifier
1396395919
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
STEPHEN L. GOLDFADEN, DDS,PA
Practice address
1905 NW 13TH St Ste 2
Gainesville, FL 32609-3414
Phone
(352) 375-7776
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Adele Goldfaden
Title
Office Administrator
Phone
(352) 375-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1905 NW 13TH St Ste 2
Gainesville, FL 32609-3414

Mailing address

1905 NW 13TH St
Gainesville, FL 32609-3414
Phone (352) 375-7776

Other practice location 1

46 SE 16th Ave
Ocala, FL 34471-2521
Phone (352) 629-5898

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.goldfadendental.com

National Provider Directory

National Provider Directory

Locations

1905 NW 13th St
#2
Gainesville, FL 32609
Phone (352) 375-7776

1905 NW 13th St
Gainesville, FL 32609
Phone (352) 375-7776

46 SE 16th Ave
Ocala, FL 34471
Phone (352) 629-5898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1396395919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093414",
            "telephone_number": "352-375-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 NW 13TH ST STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093414",
            "telephone_number": "352-375-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 SE 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344712521",
            "country_code": "US",
            "telephone_number": "352-629-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN L. GOLDFADEN, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "GOLDFADEN",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-375-7776"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.goldfadendental.com",
            "affiliation": "N",
            "address_1": "1905 NW 13th St Ste 2",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326093414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.