Richard Roy Goldin, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

05384 Issued in VA

Practice address

10684 Crestwood Dr
Manassas, VA 20109

Phone

(703) 361-6866

Fax

(703) 369-3466

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By the provider in NPPES

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

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.

• Kamreddy Dental Associates PLLC

  • Periodontics
  • Manassas, VA
  • NPI 1093693715
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1740443423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10684 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20109",
            "telephone_number": "703-361-6866",
            "fax_number": "703-369-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10684 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20109",
            "telephone_number": "703-361-6866",
            "fax_number": "703-369-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "RICHARD",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "05384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Godwin, OTR/L
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• Supriya Sujit Gokhale
• Stacey Goldberg, M.S., CCC-SLP
• Golden Years and More Assisting Living
• Jennifer Jill Goldman, AU.D.
• Goldmond Healthcare Services LLC
• Michelle Gomes
• Lawrence P Gonzales, PHARM.D.
• Mariluz Gonzalez, RPT

• Periodontics in Manassas, VA
• Providers in Manassas, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.