Patient Dentistry,P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2901016419 Issued in MI

Legal business name

PATIENT DENTISTRY,P.C.

Practice address

113 South Kalamazoo St.
White Pigeon, MI 49099

Phone

(269) 483-9621

Fax

(269) 483-2569

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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. Patrick William Goodman, D.D.SNPI 1134259047

Title

President

Phone

(269) 483-9621

Specialties & licenses 1

Addresses

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.

• Patrick William Goodman, DDS

  • Dentist
  • White Pigeon, MI
  • NPI 1134259047
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639295652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SOUTH KALAMAZOO ST.",
            "address_2": "P.O. BOX 695",
            "city": "WHITE PIGEON",
            "state": "MI",
            "postal_code": "49099",
            "telephone_number": "269-483-9621",
            "fax_number": "269-483-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SOUTH KALAMAZOO ST.",
            "city": "WHITE PIGEON",
            "state": "MI",
            "postal_code": "49099",
            "telephone_number": "269-483-9621",
            "fax_number": "269-483-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT DENTISTRY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-483-9621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Johnson LCSW LLC
• Medstar Laboratory LLC
• Dawn Middleton-Wolf
• Muscle Therapy Center, Inc. (Muscle Therapy & Acupuncture Center)
• Melanie Diane Olsen, RN
• Steffany Predosa, LPC
• Christina Schumacher, L. AC.
• Mark Andrew Thompson, M.D.
• Three Rivers Area Hospital Hospice (Three Rivers Health Family Care White Pigeon)
• Three Rivers Health System, Inc (Three Rivers Health Family Care White Pigeon)

• Dentist in White Pigeon, MI
• Providers in White Pigeon, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.