Organization Active NPI

Goforth Dental Partnership LLP

  • General Practice Dentistry
  • Kyle, TX
National Provider Identifier
1497035703
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOFORTH DENTAL PARTNERSHIP LLP
Practice address
165 Elmhurst
Ste a
Kyle, TX 78640
Phone
(956) 793-9683
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Jose Ignacio Alamo Jr., DMDNPI 1386821031
Title
Dentist Partner
Phone
(210) 378-1883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

165 Elmhurst
Ste a
Kyle, TX 78640

Mailing address

1912 S 5TH St
#448
Waco, TX 76706-2523
Phone (210) 378-1883

Other names 1

  • Neo Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

165 Elmhurst
Ste A
Kyle, TX 78640
Phone (512) 722-6131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1497035703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S 5TH ST",
            "address_2": "#448",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767062523",
            "telephone_number": "210-378-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ELMHURST",
            "address_2": "STE A",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "956-793-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFORTH DENTAL PARTNERSHIP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "ALAMO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "DENTIST PARTNER",
        "authorized_official_telephone_number": "210-378-1883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neo Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.