Quentin Paul Goodman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22972 Issued in CA

Practice address

4811 Eureka Ave Suite D
Yorba Linda, CA 92886

Phone

(714) 528-1848

Fax

(714) 528-1798

NPI assigned

Apr 16, 2008

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1811161391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 EUREKA AVE SUITE D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-528-1848",
            "fax_number": "714-528-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 EUREKA AVE SUITE D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-528-1848",
            "fax_number": "714-528-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "QUENTIN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Gonzales
• Claire Elizabeth Gonzalez, DPT, OCS
• Mark Anthony Gonzalez, PHARMD
• Good Hands Loving Care
• James Goode
• Gordon E. Traub, M.D. Inc.
• Mary Marie Graham, LPC, CRC, CYT-200
• Moe Gray, LCSW
• Gregory H. Kuwabara, D.D.S., Inc
• Jason R Greiner, O.D.

• Dentist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.