Organization Active NPI

Joel D. Gould, D.D.S.

  • General Practice Dentistry
  • Manhattan Beach, CA
National Provider Identifier
1922417138
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48276 Issued in CA
Legal business name
JOEL D. GOULD, D.D.S.
Practice address
1200 Rosecrans Ave Ste 107
Manhattan Beach, CA 90266-2470
Phone
(310) 640-0967
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Michi Moss
Title
Office Manager
Phone
(310) 640-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48276 CA Primary

Addresses

Primary practice location

1200 Rosecrans Ave Ste 107
Manhattan Beach, CA 90266-2470

Mailing address

1200 Rosecrans Ave. Suite 107
Manhattan Beach, CA 90266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1922417138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE. SUITE 107",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 107",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-640-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL D. GOULD, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MICHI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-640-0967"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.