NPIMap

Individual provider Active NPI

Michael J Goode, D.D.S.

  • Endodontics
  • Clinton, MD
National Provider Identifier
1508018979
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4912 Issued in MD
Practice address
7905 Malcolm Rd
Ste#300
Clinton, MD 20735-1734
Phone
(301) 868-5500
Fax
(301) 877-9393
NPI assigned
Oct 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 4912 MD Primary

Addresses

Primary practice location

7905 Malcolm Rd
Ste#300
Clinton, MD 20735-1734

Mailing address

7905 Malcolm Rd
Ste#300
Clinton, MD 20735-1734
Phone (301) 868-5500

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

LicenseStateTypeSpecialty
4912MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan J. Goodfriend, DMD, Glenn C. Schermer, DMD, Guido Costa, DMD,P.a. Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1508018979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD",
            "address_2": "STE#300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351734",
            "telephone_number": "301-868-5500",
            "fax_number": "301-877-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD",
            "address_2": "STE#300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351734",
            "telephone_number": "301-868-5500",
            "fax_number": "301-877-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.