Organization Active NPI

Godel & Associates PLLC

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1750826319
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GODEL & ASSOCIATES PLLC
Practice address
145 Columbine Dr
Winston Salem, NC 27106-3106
Phone
(704) 689-1412
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Erica B Beach
Title
Manager
Phone
(704) 689-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X NC Primary

Addresses

Primary practice location

145 Columbine Dr
Winston Salem, NC 27106-3106

Mailing address

145 Columbine Dr
Winston Salem, NC 27106-3106
Phone (704) 689-1412

Other names 1

  • Winston Salem Family Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Godel Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 Columbine Dr
Winston Salem, NC 27106
Phone (336) 722-8154

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1750826319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 COLUMBINE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063106",
            "telephone_number": "704-689-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COLUMBINE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063106",
            "telephone_number": "704-689-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODEL & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-689-1412"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Salem Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.