Active NPI
James Donald Goforth, D.D.S.
- General Practice Dentistry
- Los Alamitos, CA
National Provider Identifier
1487863981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22968
- Practice address
- 3742 Katella Ave
Suite 301
Los Alamitos, CA 90720-3102 - Phone
- (562) 594-3838
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22968 | CA | Primary |
Addresses
Primary practice location
3742 Katella Ave
Suite 301
Los Alamitos, CA 90720-3102
Mailing address
3742 Katella Ave
Suite 301
Los Alamitos, CA 90720-3102
Phone (562) 594-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22968 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1487863981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 KATELLA AVE",
"address_2": "SUITE 301",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203102",
"telephone_number": "562-594-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 KATELLA AVE",
"address_2": "SUITE 301",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203102",
"telephone_number": "562-594-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFORTH",
"first_name": "JAMES",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.