Austin Goodyke, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600481APP20 Issued in MI

Practice address

3299 Clear Vista CT NE Ste a
Grand Rapids, MI 49525-9326

Phone

(616) 361-0654

NPI assigned

Apr 13, 2020

Sex

Male

Sole proprietor

No

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

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.

• Sparta Family Dentistry PLLC

  • Dental Clinic/Center
  • Sparta, MI
  • NPI 1497493258
  NPD Authorized official
• Benton Family Dental PC

  • Dental Clinic/Center
  • Grand Rapids, MI
  • NPI 1699154153
  NPD

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1831718527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BETHANNE DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 CLEAR VISTA CT NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259326",
            "telephone_number": "616-361-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODYKE",
        "first_name": "AUSTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600481APP20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Michelle Goodson
• Goodwill Optical Inc
• Goodwill Optical Inc
• Goodwill Optical, Inc
• Laura Claire Goodwin, AGPCNP-BC
• Moises Steven Googe, DO
• Amy Beth Goorman, NP
• Emma Goossen
• Paige Catherine Goote, MD
• Amarendhar Reddy Gopireddy, M.D

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.