Timothy Cochran Gould, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS022321L Issued in PA

Practice address

33533 West 12 Mile Road Suite 150
Smile Program
Farmington Hills, MI 48331

Phone

(814) 967-2276

Fax

(814) 967-3812

NPI assigned

Mar 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1912031337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 RANDOM RD",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079020",
            "telephone_number": "814-664-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33533 WEST 12 MILE ROAD SUITE 150",
            "address_2": "SMILE PROGRAM",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "814-967-2276",
            "fax_number": "814-967-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "TIMOTHY",
        "middle_name": "COCHRAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022321L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gough
• Allyson Gould
• Dasha Gould
• Juliette Gould
• Sheila M Gould
• Sundie Goulding
• Marc Peter Goulet, M.D.
• Javier Gourdin
• Mollie Gourlay
• Tiquelle Gourrier

• Dentist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; 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.