NPIMap

Organization Active NPI

Dennis D Golden OD PC Inc

  • Optometrist
  • Carthage, TX
National Provider Identifier
1609009059
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2493TG Issued in TX
Legal business name
DENNIS D GOLDEN OD PC INC
Practice address
105 Cottage Rd
Carthage, TX 75633-1507
Phone
(903) 693-7745
Fax
(903) 693-8971
NPI assigned
Sep 2, 2009
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Dr. Dennis D Golden Sr., O.D.NPI 1205927761
Title
Doctor/Owner
Phone
(903) 693-7745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2493TG TX Primary

Addresses

Primary practice location

105 Cottage Rd
Carthage, TX 75633-1507

Mailing address

105 Cottage Rd
Carthage, TX 75633-1507
Phone (903) 693-7745

Other identifiers 3

IdentifierTypeStateIssuer
208167101MedicaidTX
1205927761OtherTXINDIVIDUAL NPI
2493TGOtherTXLICENSE NO.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1609009059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COTTAGE RD",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331507",
            "telephone_number": "903-693-7745",
            "fax_number": "903-693-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COTTAGE RD",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331507",
            "telephone_number": "903-693-7745",
            "fax_number": "903-693-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS D GOLDEN OD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "903-693-7745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2493TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208167101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205927761",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "2493TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.