Goodless Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GOODLESS DERMATOLOGY, LLC

Practice address

410 Celebration PL Ste 301
Celebration, FL 34747-5435

Phone

(407) 566-1616

Fax

(407) 566-1617

NPI assigned

Jun 3, 2019

Last updated

Jun 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dean Goodless, MDNPI 1932120326

Title

Managing Member

Phone

(407) 361-7126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean R Goodless, M.D.

  • Dermatology Physician
  • Celebration, FL
  • NPI 1932120326
  Medicare reassignment Care Compare group NPD Authorized official
• Judith Duran, APRN

  • Family Nurse Practitioner
  • Celebration, FL
  • NPI 1710726906
  Medicare reassignment Care Compare group NPD
• Mildride Pierre Monize, ARNP-C

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1194165142
  Medicare reassignment Care Compare group NPD
• Tami Jo Santo, DNP-APRN, DCNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1801224688
  Medicare reassignment Care Compare group NPD
• Christine Marie Longo, LMT

  • Family Nurse Practitioner
  • The Villages, FL
  • NPI 1053533497
  Medicare reassignment NPD
• Sanila Shoaib Siddiqui, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1316760697
  Medicare reassignment
• Christopher Joseph Carniglia, PA-C

  • Medical Physician Assistant
  • Kissimmee, FL
  • NPI 1427692292
  NPD
• Benjamin Witkoff

  • MOHS-Micrographic Surgery Physician
  • Miami Beach, FL
  • NPI 1700346509

  Dermatology

  NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1457919623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 301",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475435",
            "telephone_number": "407-566-1616",
            "fax_number": "407-566-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 301",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475435",
            "telephone_number": "407-566-1616",
            "fax_number": "407-566-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLESS DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "GOODLESS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-361-7126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lei Gong, MD
• Angel Rafael Gonzalez Rios, M.D.
• Daniel A Gonzalez-Morales, D.O
• Lixandra Gonzalez, M.D.
• Yvette M Gonzalez
• Dean R Goodless, M.D.
• Carina Michele Grand, OD
• Margaret Louise Grand, O.D.
• Ronald Sherburne Grand, O.D.
• Jennifer Marie Gregory, PHARMD

• Dermatology Physician in Celebration, FL
• Providers in Celebration, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.