Jeffrey A Goldman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14476 Issued in MA

Practice address

1 Thompson SQ
Suite 203
Charlestown, MA 02129-3328

Phone

(617) 242-0663

Fax

(617) 242-8539

NPI assigned

Oct 5, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MA

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.

• Jeffrey a Goldman,D.D.S,LLC

  • General Practice Dentistry
  • Charlestown, MA
  • NPI 1932367943
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689661472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THOMPSON SQ",
            "address_2": "SUITE 203",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293328",
            "telephone_number": "617-242-0663",
            "fax_number": "617-242-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THOMPSON SQ",
            "address_2": "SUITE 203",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293328",
            "telephone_number": "617-242-0663",
            "fax_number": "617-242-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256714",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinah Gilburd
• Mia Christine Giles
• Ann Gilligan
• Lauren Orloff Glickman, MD
• Mary Glynn
• Alaina Maria Goodwin
• Ashley Gosnell
• Samantha Greco
• Bruce Grimley, LMHC, CCM
• Raymond Christopher Guo, MD

• General Practice Dentistry in Charlestown, MA
• Providers in Charlestown, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.