Individual provider Active NPI

Martin Scott Gould, DDS, MS

  • Periodontics
  • Wilmington, NC
National Provider Identifier
1891744819
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
NC7356 Issued in NC
Practice address
7010 Market St
Wilmington, NC 28411-9728
Phone
(910) 686-4644
Fax
(910) 686-4340
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NC7356 NC Primary

Addresses

Primary practice location

7010 Market St
Wilmington, NC 28411-9728

Mailing address

7010 Market St
Wilmington, NC 28411-9728
Phone (910) 686-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20170120002062 NC Order and Referring Only - DentistPractitioner - Dentist 2668754938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1891744819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119728",
            "telephone_number": "910-686-4644",
            "fax_number": "910-686-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119728",
            "telephone_number": "910-686-4644",
            "fax_number": "910-686-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "MARTIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "NC7356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.