Mark a. Goldman, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6538 Issued in VA

Legal business name

MARK A. GOLDMAN, DDS, PC

Practice address

2995 Churchland Blvd
Suite a
Chesapeake, VA 23321-5642

Phone

(757) 638-0900

Fax

(757) 638-0944

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Goldman, D.D.S.NPI 1407111560

Title

President

Phone

(757) 638-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Allen Goldman, DDS

  • General Practice Dentistry
  • Chesapeake, VA
  • NPI 1407111560
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1437244407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 CHURCHLAND BLVD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215642",
            "telephone_number": "757-638-0900",
            "fax_number": "757-638-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 CHURCHLAND BLVD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215642",
            "telephone_number": "757-638-0900",
            "fax_number": "757-638-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. GOLDMAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-638-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mao Pharmacy Inc.
• Bobette March
• Margie Corney, MD PC
• Harold J Marioneaux Jr.
• Stephanie Jones Marioneaux, M.D.
• Mark R Gutekunst PC
• George L Markham III, PAC
• Charles W Marks, MD
• Erin June Marler, FNP
• Rachel Marlins

• Dental Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.