Gary Gervais Goodell, D.D.S., M.S., M.A.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6478 Issued in IA

Practice address

8901 Wisconsin Avenue
Bethesda, MD 20889-0001

Phone

(301) 295-1831

Fax

(301) 295-5767

NPI assigned

Aug 18, 2005

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467444117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 HOLLOW TREE LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306246",
            "telephone_number": "703-266-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-1831",
            "fax_number": "301-295-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "GARY",
        "middle_name": "GERVAIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "6478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Luigia Gonzaga
• Maria Gonzalez
• Sarah Gonzalez, D.O.
• Sharnette Gonzalez
• Genevieve Olds Good-Malloy, DPT
• Jeffrey Louis Goodie, PH.D.
• Jesse Lyle Goodman, M.D., M.P.H.
• Kelly A Goodman, NP
• Nancy R Goodman, PHD
• Olivia Grace Goodney, PA-C

• Endodontics in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.