NPIMap

Organization Active NPI

Matthew Phillip Goodrich

  • Dentist
  • Southern Pines, NC
National Provider Identifier
1497115273
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10153 Issued in NC
Legal business name
MATTHEW PHILLIP GOODRICH
Practice address
125 Murray Hill Rd
Ste G
Southern Pines, NC 28387-6354
Phone
(910) 693-1977
Fax
(910) 693-1877
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. Matthew Phillip Goodrich, D.D.S.NPI 1245614742
Title
Dentist
Phone
(910) 693-1977

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10153 NC Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

125 Murray Hill Rd
Ste G
Southern Pines, NC 28387-6354

Mailing address

125 Murray Hill Rd
Ste G
Southern Pines, NC 28387-6354
Phone (910) 693-1977

Other names 1

  • Goodrich Dental Doing business as

National Provider Directory

National Provider Directory

Locations

125 Murray Hill Rd
Ste G
Southern Pines, NC 28387
Phone (910) 693-1977

Practitioners & affiliated clinicians

Practitioners 2

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": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1497115273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MURRAY HILL RD",
            "address_2": "STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876354",
            "telephone_number": "910-693-1977",
            "fax_number": "910-693-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MURRAY HILL RD",
            "address_2": "STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876354",
            "telephone_number": "910-693-1977",
            "fax_number": "910-693-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW PHILLIP GOODRICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-693-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "10153",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodrich Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.