Paul Goldwin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007428A Issued in IN

Practice address

225 N Notre Dame Ave Ste 3
South Bend, IN 46617-2836

Phone

(574) 287-2931

Fax

(574) 287-2921

NPI assigned

Sep 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1710078357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51051 BELLCREST CIR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306956",
            "telephone_number": "574-291-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N NOTRE DAME AVE STE 3",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172836",
            "telephone_number": "574-287-2931",
            "fax_number": "574-287-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWIN",
        "first_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007428A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Gonzales, LCSW
• Brenda Gonzalez
• Itzel Gonzalez

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.