Ashley a Goodman DDS a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA20628 Issued in CA

Legal business name

ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION

Practice address

8736 Lake Murray Blvd
Ste 108
San Diego, CA 92119

Phone

(619) 697-6677

Fax

(619) 697-6632

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Allen Goodman, DDS

Title

Dentist Owner Ceo

Phone

(619) 697-6677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811006067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 LAKE MURRAY BLVD",
            "address_2": "STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92119",
            "telephone_number": "619-697-6677",
            "fax_number": "619-697-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 LAKE MURRAY BLVD",
            "address_2": "STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92119",
            "telephone_number": "619-697-6677",
            "fax_number": "619-697-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST OWNER CEO",
        "authorized_official_telephone_number": "619-697-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA20628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aria Ashir, MD
• Ashish Agrawal MD Inc
• Irma L Ashkar, LVN
• Erica Ashkenasi, ASW
• Ashlee Lauren Bolt Nursing Inc
• Ashley Medical, Inc
• Arnold Dwayne Ashley, MSW
• Brynn Ashley
• Danielle Ashley
• David Patrick Ashley, DO, MPH, MS

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.