Active NPI
Christina Rhea Goodall, D.D.S.
- General Practice Dentistry
- Cary, NC
National Provider Identifier
1922236439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8823
- Practice address
- 3100 NC Highway 55
Suite 201
Cary, NC 27519 - Phone
- (919) 363-3133
- Fax
- (919) 363-3134
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8823 | NC | Primary |
Addresses
Primary practice location
3100 NC Highway 55
Suite 201
Cary, NC 27519
Mailing address
3100 NC Highway 55
Suite 201
Cary, NC 27519
Phone (919) 363-3133
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 |
|---|---|---|---|
| 8823 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1922236439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 NC HIGHWAY 55",
"address_2": "SUITE 201",
"city": "CARY",
"state": "NC",
"postal_code": "27519",
"telephone_number": "919-363-3133",
"fax_number": "919-363-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NC HIGHWAY 55",
"address_2": "SUITE 201",
"city": "CARY",
"state": "NC",
"postal_code": "27519",
"telephone_number": "919-363-3133",
"fax_number": "919-363-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALL",
"first_name": "CHRISTINA",
"middle_name": "RHEA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 8, 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.