Individual provider Active NPI

Amanda Lee Godfrey, D.D.S

  • General Practice Dentistry
  • Amarillo, TX
National Provider Identifier
1659526218
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21716 Issued in TX
Practice address
2919 S Georgia St
Amarillo, TX 79109-3436
Phone
(806) 352-8381
Fax
(806) 352-4429
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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 21716 TX Primary

Addresses

Primary practice location

2919 S Georgia St
Amarillo, TX 79109-3436

Mailing address

2919 S Georgia St
Amarillo, TX 79109-3436
Phone (806) 352-8381

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
I20160510002241 TX Order and Referring Only - DentistPractitioner - Dentist 9234437484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21716TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Biggers Chiropractic, P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1659526218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093436",
            "telephone_number": "806-352-8381",
            "fax_number": "806-352-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093436",
            "telephone_number": "806-352-8381",
            "fax_number": "806-352-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.