Daniel Phillip Goldsmith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-10225 Issued in IA

Practice address

403 Deer View Ave
Tiffin, IA 52340-4725

Phone

(319) 545-7630

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hart Family Dentistry PC

  • Dental Clinic/Center
  • Tiffin, IA
  • NPI 1669283057
  NPD

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1801638788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ORIOLE CT",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523409340",
            "telephone_number": "319-530-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DEER VIEW AVE",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523404725",
            "telephone_number": "319-545-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "DANIEL",
        "middle_name": "PHILLIP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-10225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Burzacott
• CCRC of Tiffin, LLC (Clear Creek Village)
• Samantha Chyko
• Angela Marie Dunn, D.C.
• Jodeen Francis, ADULT ARNP
• Keilyn Michelle Hahn
• Kelsey Kay Hall
• Ryan Hall
• Samantha Joann Harris, OD
• Hart Family Dentistry PC

• Dentist in Tiffin, IA
• Providers in Tiffin, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.