Organization Active NPI

Lynn M. Godwin, D.D.S., P.a.

Doing business as Godwin Family Dentistry

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1902828817
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5591 Issued in NC
Legal business name
LYNN M. GODWIN, D.D.S., P.A.
Doing business as
Godwin Family Dentistry
Practice address
301 Keisler Dr Ste B
Cary, NC 27511-7018
Phone
(919) 854-4344
Fax
(919) 854-4340
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Lynn Miller Godwin, D.D.S.
Title
President
Phone
(919) 854-4344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5591 NC Primary

Addresses

Primary practice location

301 Keisler Dr Ste B
Cary, NC 27511-7018

Mailing address

301 Keisler Dr Ste B
Cary, NC 27518-7018
Phone (919) 854-4344

Other names 1

  • Godwin Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

301 Keisler Dr
Ste B
Cary, NC 27518
Phone (919) 854-4344

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1902828817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KEISLER DR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187018",
            "telephone_number": "919-854-4344",
            "fax_number": "919-854-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KEISLER DR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117018",
            "telephone_number": "919-854-4344",
            "fax_number": "919-854-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M. GODWIN, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-854-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Godwin Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.