Swamidass and Goodacre Dental Corp

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

SWAMIDASS AND GOODACRE DENTAL CORP

Practice address

250 E 7TH St Ste E
Upland, CA 91786-6603

Phone

(909) 315-6235

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Brian Goodacre, DDS, MSDNPI 1821519000

Title

Vice President

Phone

(909) 315-6235

Specialties & licenses 1

Addresses

Other names 1

• Upland Prosthodontics Doing business as

Locations

Practitioners 1

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

• Brian Joseph Goodacre, DDS, MSD

  • Prosthodontics
  • Loma Linda, CA
  • NPI 1821519000
  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1437810967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 7TH ST STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866603",
            "telephone_number": "909-315-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 7TH ST STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866603",
            "telephone_number": "909-315-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAMIDASS AND GOODACRE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "GOODACRE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-315-6235",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthodontics in Upland, CA
• Providers in Upland, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.