Organization Active NPI

Richard Golden DDS PC

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1699048249
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901009940 Issued in MI
Legal business name
RICHARD GOLDEN DDS PC
Practice address
18525 Moross Rd
Detroit, MI 48224-1019
Phone
(313) 371-9880
Fax
(313) 527-2559
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Richard M Golden
Title
Owner
Phone
(313) 371-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901009940 MI Primary

Addresses

Primary practice location

18525 Moross Rd
Detroit, MI 48224-1019

Mailing address

18525 Moross Rd
Detroit, MI 48224-1019
Phone (313) 371-9880

Other identifiers 1

IdentifierTypeStateIssuer
3119398MedicaidMI

National Provider Directory

National Provider Directory

Locations

18525 Moross Rd
Detroit, MI 48224
Phone (313) 371-9880

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1699048249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241019",
            "telephone_number": "313-371-9880",
            "fax_number": "313-527-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241019",
            "telephone_number": "313-371-9880",
            "fax_number": "313-527-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GOLDEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-371-9880"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119398",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.