Active NPI
Barry Morton Goldman, DDS. MS.
- Prosthodontics
- Augusta, GA
National Provider Identifier
1932278629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN006851
- Practice address
- 1430 John Wesley Gilbert Drive
Augusta, GA 30912-0001 - Phone
- (706) 721-2371
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DE60399541 | WA | |
| Prosthodontics | 1223P0700X | DN006851 | GA | Primary |
| Prosthodontics | 1223P0700X | 051185 | NY | |
| Prosthodontics | 1223P0700X | 61328 | CA |
Addresses
Primary practice location
1430 John Wesley Gilbert Drive
Augusta, GA 30912-0001
Mailing address
108 Yucca Ave
North Augusta, SC 29860-9229
Phone (803) 634-7180
Other practice location 1
1139 Greene St
Augusta, GA 30901-2125
Phone (706) 721-4288
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61328 | CA | MD | Prosthodontist |
| DN006851 | GA | MD | Prosthodontist |
| 051185 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Michael Scott, DMD, P.C. | Past | Accepting new patients | |
| Affordable Dentures & Implants - East Augusta, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Augusta, GA
- NPI 1114507639
-
- Dentist
- Augusta, GA
- NPI 1154985380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1932278629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 YUCCA AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609229",
"telephone_number": "803-634-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 JOHN WESLEY GILBERT DRIVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120001",
"telephone_number": "706-721-2371"
}
],
"practiceLocations": [
{
"address_1": "1139 Greene St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012125",
"country_code": "US",
"telephone_number": "706-721-4288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "BARRY",
"middle_name": "MORTON",
"name_prefix": "Dr.",
"credential": "DDS. MS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WA",
"license": "DE60399541",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DN006851",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "051185",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "61328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.