Judd Ray Gouldie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6411 Issued in NE

Practice address

3933 S 48TH St
Lincoln, NE 68506-4318

Phone

(402) 489-5500

NPI assigned

Aug 15, 2006

Last updated

Sep 11, 2023By 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 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1801809215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064318",
            "telephone_number": "402-489-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDIE",
        "first_name": "JUDD",
        "middle_name": "RAY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6411",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahma Gotiya
• Jessica R Gotschall
• Jean Gottula
• Lacey Gottula
• Elaine Ann Gould
• Christine Goulette
• Hannah Katelyn Gourlay
• Joseph M Gourlay II
• Ryan Gov, DMD
• Nicholas Kristian Gove, M.D.

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.