Individual provider Active NPI

Michael Joseph Goulding, D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1609870955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14306 Issued in TX
Practice address
3600 Hulen St
Ste D3
Fort Worth, TX 76107-6872
Phone
(817) 737-3536
Fax
(817) 737-3689
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14306 TX Primary

Addresses

Primary practice location

3600 Hulen St
Ste D3
Fort Worth, TX 76107-6872

Mailing address

3600 Hulen St
Ste D3
Fort Worth, TX 76107-6872
Phone (817) 737-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002208 TX Order and Referring Only - DentistPractitioner - Dentist 7810206513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14306TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609870955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HULEN ST",
            "address_2": "STE D3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076872",
            "telephone_number": "817-737-3536",
            "fax_number": "817-737-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HULEN ST",
            "address_2": "STE D3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076872",
            "telephone_number": "817-737-3536",
            "fax_number": "817-737-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDING",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.