Active NPI
Joel D. Gould, D.D.S.
- General Practice Dentistry
- Manhattan Beach, CA
National Provider Identifier
1922417138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48276
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.