Active NPI
James M McGoldrick, DDS
- Dentist
- Sunnyside, WA
National Provider Identifier
1851466874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00008085
- Practice address
- 1723 E Lincoln Ave
Building B
Sunnyside, WA 98944-2478 - Phone
- (509) 837-7178
- Fax
- (509) 839-4022
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00008085 | WA | Primary |
Addresses
Primary practice location
1723 E Lincoln Ave
Building B
Sunnyside, WA 98944-2478
Mailing address
PO Box 979
Sunnyside, WA 98944-0979
Phone (509) 837-7178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5034350 | Medicaid | WA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008085 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin, Martin & Copeland PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sunnyside, WA
- NPI 1013285949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851466874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 979",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440979",
"telephone_number": "509-837-7178",
"fax_number": "509-839-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 E LINCOLN AVE",
"address_2": "BUILDING B",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989442478",
"telephone_number": "509-837-7178",
"fax_number": "509-839-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOLDRICK",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00008085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5034350",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.