Active NPI
Hector Omar Godoy, DDS
- Dentist
- Conroe, TX
National Provider Identifier
1427336254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29456
- Practice address
- 1410 N. Loop 336 West
Suite a-Castle Dental
Conroe, TX 77304-3504 - Phone
- (936) 441-0481
- Fax
- (936) 756-6783
- NPI assigned
- Jul 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60533 | CA | |
| Dentist | 122300000X | 6214 | LA | |
| Dentist | 122300000X | 29456 | TX | Primary |
Addresses
Primary practice location
1410 N. Loop 336 West
Suite a-Castle Dental
Conroe, TX 77304-3504
Mailing address
7 Trailhead PL
Spring, TX 77381-6018
Phone (818) 264-9199
Other practice location 1
27661 Bouquet Canyon Rd
Santa Clarita, CA 91350-1793
Phone (661) 523-3989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927004606 | TX | Order and Referring Only - Dentist | 5799059838 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6214 | LA | MD | Speech-Language Assistant |
| 60533 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1427336254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 TRAILHEAD PL",
"city": "SPRING",
"state": "TX",
"postal_code": "773816018",
"telephone_number": "818-264-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 N. LOOP 336 WEST",
"address_2": "SUITE A-CASTLE DENTAL",
"city": "CONROE",
"state": "TX",
"postal_code": "773043504",
"telephone_number": "936-441-0481",
"fax_number": "936-756-6783"
}
],
"practiceLocations": [
{
"address_1": "27661 Bouquet Canyon Rd",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913501793",
"country_code": "US",
"telephone_number": "661-523-3989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODOY",
"first_name": "HECTOR",
"middle_name": "OMAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-27",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60533",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6214",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.