Active NPI
Richard Golden DDS PC
- General Practice Dentistry
- Detroit, MI
National Provider Identifier
1699048249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901009940
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3119398 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.