George Thomas Goodis, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901008572 Issued in MI

Practice address

20175 Mack Avenue
Grosse Pointe Woods, MI 48236

Phone

(313) 886-4040

Fax

(313) 886-4481

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Bay Pointe Endodontics PC

  • Endodontics
  • New Baltimore, MI
  • NPI 1306968201
  NPD (past) Authorized official
• Goodis Endodontics PC

  • Endodontics
  • Grosse Pointe Woods, MI
  • NPI 1629291711
  NPD (past) Authorized official
• Sterling Endodontics PC

  • Endodontics
  • Sterling HGTS, MI
  • NPI 1467679373
  Authorized official Same address or phone

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770797052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20175 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-886-4040",
            "fax_number": "313-886-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20175 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-886-4040",
            "fax_number": "313-886-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIS",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901008572",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "19075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shumonique Givens
• Kandice Glaze
• Chontay Glenn, PHD, RN, PMHNP-BC
• Goodheart, Zatkin, Hack & Associates
• Goodis Endodontics PC
• Malik Alan Greason
• Great Lakes Cancer MGMT Specialists (Daniel J Lehman MD)
• Jakayla Miaya Green
• Rosalie Greenwood-Korson, NP
• Brad James Gregory

• Endodontics in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.