Edward James Gold, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4894 Issued in ME

Practice address

495 Woodford St
Portland, ME 04103-2438

Phone

(207) 772-6966

NPI assigned

May 5, 2020

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

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 and National Provider Directory roles.

• Russell Family Dentistry LLC

  • General Practice Dentistry
  • Portland, ME
  • NPI 1659449940
  NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1811518475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ASHMONT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034001",
            "telephone_number": "339-223-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032438",
            "telephone_number": "207-772-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022910",
            "country_code": "US",
            "telephone_number": "207-874-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Godbout, MD
• Amanda Goddard, MD
• Catherine A Godfrey, CRNA
• Celine M. Godin, M.D.
• Arvene Golbazi
• Rosalind Gold, MD
• Stephen R Goldbas, D.O.
• Nicole T. Goldberg, CNM
• Golden Residential Care
• Lewis P Golden, M.D.

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.