Active NPI
Goodman Family Dental
- General Practice Dentistry
- Live Oak, TX
National Provider Identifier
1649414129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GOODMAN FAMILY DENTAL
- Practice address
- 8204 Pat Booker Rd
Live Oak, TX 78233-2440 - Phone
- (210) 654-9094
- NPI assigned
- Apr 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela J Goodman
- Title
- Dentist/Owner
- Phone
- (210) 654-9094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
8204 Pat Booker Rd
Live Oak, TX 78233-2440
Mailing address
8204 Pat Booker Rd
Live Oak, TX 78233-2440
National Provider Directory
National Provider DirectoryLocations
8204 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 654-9094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240876800000",
"number": "1649414129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 PAT BOOKER RD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 PAT BOOKER RD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332440",
"telephone_number": "210-654-9094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODMAN FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-28",
"last_updated": "2009-04-28",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "210-654-9094",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.