Individual provider Active NPI

Alex Gould, D.M.D.

  • Dentist
  • Reed City, MI
National Provider Identifier
1831504075
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021384 Issued in MI
Practice address
4909 N Park St
Reed City, MI 49677-7505
Phone
(231) 832-9912
Fax
(231) 832-5165
NPI assigned
Jun 26, 2014
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021384 MI Primary

Addresses

Primary practice location

4909 N Park St
Reed City, MI 49677-7505

Mailing address

PO Box 207
Reed City, MI 49677-0207
Phone (231) 832-9912

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alex T Gould DMD PLC CurrentSince Apr 10, 2022 Accepting new patients
Big Rapids Family Dental PLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

201 S Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-4747

4909 N Park St
Reed City, MI 49677
Phone (231) 832-9912

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1831504075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496770207",
            "telephone_number": "231-832-9912",
            "fax_number": "231-832-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 N PARK ST",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496777505",
            "telephone_number": "231-832-9912",
            "fax_number": "231-832-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.