NPIMap

Organization Active NPI

Jeffrey a Goldman,D.D.S,LLC

  • General Practice Dentistry
  • Charlestown, MA
National Provider Identifier
1932367943
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14476 Issued in MA
Legal business name
JEFFREY A GOLDMAN,D.D.S,LLC
Practice address
1 Thompson SQ
Suite 203
Charlestown, MA 02129-3328
Phone
(617) 242-0663
Fax
(617) 242-8539
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Miss Shannon Marie Anzalone
Title
Office Manger
Phone
(617) 242-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14476 MA Primary

Addresses

Primary practice location

1 Thompson SQ
Suite 203
Charlestown, MA 02129-3328

Mailing address

1 Thompson SQ
Suite 203
Charlestown, MA 02129-3328
Phone (617) 242-0663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1932367943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THOMPSON SQ",
            "address_2": "SUITE 203",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293328",
            "telephone_number": "617-242-0663",
            "fax_number": "617-242-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THOMPSON SQ",
            "address_2": "SUITE 203",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293328",
            "telephone_number": "617-242-0663",
            "fax_number": "617-242-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A GOLDMAN,D.D.S,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ANZALONE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "617-242-0663",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.