Gouda Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GOUDA DENTAL CORPORATION

Practice address

827 W Henderson Ave
Porterville, CA 93257-1742

Phone

(559) 782-9255

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed A Gouda, D.D.SNPI 1073662458

Title

Dentist

Phone

(559) 782-9297

Specialties & licenses 1

Addresses

Other names 1

• Galaxy Dental Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gouda Dental Corporation

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1154874162
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed A Gouda, D.D.S.

  • Dentist
  • Porterville, CA
  • NPI 1073662458
  NPD (past) Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1700068475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571742",
            "telephone_number": "559-782-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571742",
            "telephone_number": "559-782-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUDA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "GOUDA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-782-9297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galaxy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luz Adriana Gonzalez, LVN
• Miriam Gonzalez
• William Harvice Goodin, M.D.
• Samantha G Goodman, OTR
• Igor Gorodniuk
• Mohamed A Gouda, D.D.S.
• Grace Hwang MD Inc
• Brian George Graham, DO
• Lisa Graham, CATC
• Harriette Denice Green, MD

• General Practice Dentistry in Porterville, CA
• Providers in Porterville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.