Benjamin Godder, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

040786-1 Issued in NY

Practice address

115 E 57TH St
Suite 1520
New York, NY 10022-2049

Phone

(212) 750-3478

Fax

(212) 750-8929

NPI assigned

Apr 26, 2007

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871713610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLEECKER ST",
            "address_2": "APT.#5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122202",
            "telephone_number": "212-750-3478",
            "fax_number": "212-750-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 1520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-750-3478",
            "fax_number": "212-750-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040786-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Godbout, M.D.
• Goddard Riverside Community Center
• Frederic Goddard
• Gillian M Goddard, M.D.
• Stephan Goddard, LMCH
• Sumana Goddu
• Julie Godefroid, OTR/L
• Francine Godet, PSY.D.
• Alyssa Catherine Godfrey, PA-C
• Crystal Ann Godfrey, AGNPPC-BC

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.