Jeremy Haskell Goodman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14783 Issued in MD

Practice address

2530 Riva Rd
Suite 201
Annapolis, MD 21401-7413

Phone

(410) 263-1919

NPI assigned

Jun 14, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Goodman Dental Care LLC

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1144625807
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1487949780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 UNIVERSITY BLVD W",
            "address_2": "#601",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023357",
            "telephone_number": "301-681-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 RIVA RD",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017413",
            "telephone_number": "410-263-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JEREMY",
        "middle_name": "HASKELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Good, M.S., CCC-SLP
• Mark Cameron Good, LCSW-C, BCD, PH.D.
• Marvin D Goodley
• Goodman Dental Care LLC
• A Gary Goodman, DDS
• Lee A. Goodman, MD
• Marie Darcy Goodman, PA-C
• Frederick K Goodwin, M.D.
• Sheila Kay Goodwin, RN
• Danielle Googe

• General Practice Dentistry in Annapolis, MD
• Providers in Annapolis, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.