Andrew Gooch, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 19938 Issued in FL

Practice address

1310 Windermere Rd
Winter Garden, FL 34787-5598

Phone

(407) 566-4646

NPI assigned

May 27, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andrew C Gooch DMD PLLC

  • Pediatric Dentistry
  • Winter Garden, FL
  • NPI 1821811431
  NPD Authorized official
• Kids Only Dental Place

  • Pediatric Dentistry
  • Gainesville, FL
  • NPI 1205067725
  NPD (past)
• Kodp PLLC

  • Pediatric Dentistry
  • Gainesville, FL
  • NPI 1902798903
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1609288539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 SW 91ST DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083028",
            "telephone_number": "352-335-7777",
            "fax_number": "352-371-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WINDERMERE RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875598",
            "telephone_number": "407-566-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 19938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gomez, LMHC, BCBA
• Mariana Gonzalez-Solis Piazza, LPN
• Brianna Lynn Gonzalez
• Christina Gonzalez
• Francisco Gonzalez, PA
• Brittany Nicole Goodyear
• Ashley O Gordon, MD
• Lauren Chelette Gordon, OTR/L
• Lynnae Gordon
• Joshua A. Gottschall, MD

• Pediatric Dentistry in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.