Mark a. Goodfellow, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30534 Issued in CA

Legal business name

MARK A. GOODFELLOW, D.D.S., INC.

Practice address

2427 N Tustin Ave Ste a
Santa Ana, CA 92705-1655

Phone

(714) 647-9339

Fax

(714) 647-9576

NPI assigned

Jul 31, 2008

Last updated

Jul 31, 2008By 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

Linda Ochs

Title

Office MGR

Phone

(714) 647-9339

Specialties & licenses 1

Addresses

Locations

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.

• Mark Allan Goodfellow, D.D.S.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1356361216
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1649436478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 N TUSTIN AVE STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051655",
            "telephone_number": "714-647-9339",
            "fax_number": "714-647-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 N TUSTIN AVE STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051655",
            "telephone_number": "714-647-9339",
            "fax_number": "714-647-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. GOODFELLOW, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "OCHS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "714-647-9339"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "30534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinia Group, Inc. (Marinia Academy)
• Dana L Marino
• Amber Nicole Marinoff, M.A.
• Mario G. Valdez D.D.S., Professional Corporation (Grand Family Dental Center)
• Cynthia Marie Mariuta, FNP-C
• Mark Girgis, D.M.D.
• Mark S Wagner MD, a Medical Corporation (OC Comprehensive Care)
• Susan Deborah Mark
• Market Pharmacy LLC (Regions Pharmacy)
• Kristina Markovich

• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.