Individual provider Active NPI

David Lester Goldstein, D.M.D.

  • Pediatric Dentistry
  • Orlando, FL
National Provider Identifier
1801915541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11450 Issued in FL
Practice address
7651 Ashey Park Court C
Suite 410
Orlando, FL 32835-6114
Phone
(407) 295-5437
Fax
(407) 295-1280
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11450 FL Primary

Addresses

Primary practice location

7651 Ashey Park Court C
Suite 410
Orlando, FL 32835-6114

Mailing address

7651 Ashley Park CT # C
Suite 410
Orlando, FL 32835-6114
Phone (407) 295-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11450FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Kids Dentistry PA Pediatric Dentistry PastSince Dec 3, 2023 Accepting new patients
David L Goldstein DMD PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801915541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 ASHLEY PARK CT # C",
            "address_2": "SUITE 410",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356114",
            "telephone_number": "407-295-5437",
            "fax_number": "407-295-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 ASHEY PARK COURT C",
            "address_2": "SUITE 410",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356114",
            "telephone_number": "407-295-5437",
            "fax_number": "407-295-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DAVID",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "11450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • 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.