Golnick Pediatric Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901016484 Issued in MI

Legal business name

GOLNICK PEDIATRIC DENTAL ASSOCIATES

Practice address

21213 Ecorse Rd
Taylor, MI 48180-1834

Phone

(313) 292-7777

Fax

(313) 292-7515

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason M Golnick, DDS, MSNPI 1316915044

Title

Pediatric Dentist

Phone

(313) 292-7777

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Marc Golnick, DDS, MS

  • Pediatric Dentistry
  • Taylor, MI
  • NPI 1316915044
  NPD (past) Authorized official
• Marsha L Beattie, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taylor, MI
  • NPI 1689745200
  NPD (past)
• Andreina Maria Castro, DDS,MS

  • Pediatric Dentistry
  • Taylor, MI
  • NPI 1770701583
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1548444102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21213 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801834",
            "telephone_number": "313-292-7777",
            "fax_number": "313-292-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21213 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801834",
            "telephone_number": "313-292-7777",
            "fax_number": "313-292-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLNICK PEDIATRIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "GOLNICK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "313-292-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901016484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Michelle Gibbs, OD
• Lanetria A Gibson
• Jeanette Gill
• God's Precious Treasures II
• Krishna Gollamudi, MD
• Jason Marc Golnick, DDS, MS
• Hannah Gomez
• Melissa Rose Gonzales, LMSW
• Good Heart Homecare Services
• Good Step LLC

• Dental Clinic/Center in Taylor, MI
• Providers in Taylor, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.