Erik Thurston Goodwin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN011653 Issued in GA

Practice address

1816 Lakefield CT
Conyers, GA 30013

Phone

(770) 860-8760

Fax

(678) 413-8144

NPI assigned

Jan 9, 2006

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Dental Group of Conyers PC

  • Dental Clinic/Center
  • Conyers, GA
  • NPI 1235117375
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1457339590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FOREST BLOCK DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "678-342-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 LAKEFIELD CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-860-8760",
            "fax_number": "678-413-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ERIK",
        "middle_name": "THURSTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743553A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D. Golden, D.M.D.
• Yendi Nancy Gomes, NP-C
• Carl Gonzales II, M.D.
• Elizabeth Gonzales, LPN
• Debora Ann Goodrich, DO
• Michelle Goolsby, CPS
• Olivia Gordon-Thomas, LPC
• Jasmine Gordon
• Richard Alan Gordon, M.D.
• Stephanie H Gordon, M.D.

• Dentist in Conyers, GA
• Providers in Conyers, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.