Scott C. Goldstein, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14374 Issued in MO

Practice address

407 High St
Anderson, MO 64831-8451

Phone

(417) 845-6384

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Goldstein Dental Office, LLC

  • General Practice Dentistry
  • Anderson, MO
  • NPI 1790033538
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679514897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HIGH ST",
            "address_2": "PO BOX 630",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648318451",
            "telephone_number": "417-845-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HIGH ST",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648318451",
            "telephone_number": "417-845-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "SCOTT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "14374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Food Merchants, LLC (Alps Pharmacy Anderson)
• Freeman Neosho Hospital
• Freeman-Oak Hill Health System (Freeman Ambulance Service)
• Kimberly Ann George, R.D.H.
• Goldstein Dental Office, LLC
• Chris Grayling, DC
• Green Meadows
• Gina Lea Green, RDH
• Samantha Hamilton, PHARMD
• Cody J Hansen, LMSW

• Dentist in Anderson, MO
• Providers in Anderson, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.