Harold Lee Goforth Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2416 Issued in WV

Practice address

1321 Stadium Dr
Bluefield, WV 24701-3318

Phone

(304) 327-7135

NPI assigned

Sep 20, 2006

Last updated

Apr 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ethan Lafferty, DDS, PLLC

  • General Practice Dentistry
  • Bluefield, WV
  • NPI 1104605989
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1669579728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010607",
            "telephone_number": "304-327-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013318",
            "telephone_number": "304-327-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "HAROLD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136312000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Kathryn Gillespie
• Mary Gillespie
• Kellie Yvonne Gillian
• Pamela Gills
• Mary Clark Goebel, MSW
• Deborah Goins
• Emaleigh Madison Goins, RN
• Ronald Goins
• Kelli Nicole Golden
• Haley Gonzalez

• General Practice Dentistry in Bluefield, WV
• Providers in Bluefield, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.