Organization Active NPI

Dr. Burton Gooch

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1942693296
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5484 Issued in AL
Legal business name
DR. BURTON GOOCH
Practice address
6807 Tattersal Way
Birmingham, AL 35242-4237
Phone
(205) 991-9892
Fax
(205) 991-9722
NPI assigned
Mar 11, 2015
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Dr. Burton Gooch, DDSNPI 1700905502
Title
Owner/Doctor
Phone
(205) 991-9892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5484 AL Primary

Addresses

Primary practice location

6807 Tattersal Way
Birmingham, AL 35242-4237

Mailing address

6807 Tattersal Way
Birmingham, AL 35242-4237
Phone (205) 991-9892

Other practice location 1

120 Doug Baker Blvd
Suite 110
Birmingham, AL 35242-9604
Phone (205) 991-9892

National Provider Directory

National Provider Directory

Locations

120 Doug Baker Blvd
Ste 110
Hoover, AL 35242
Phone (205) 991-9892

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1942693296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 TATTERSAL WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424237",
            "telephone_number": "205-991-9892",
            "fax_number": "205-991-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 TATTERSAL WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424237",
            "telephone_number": "205-991-9892",
            "fax_number": "205-991-9722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Doug Baker Blvd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352429604",
            "country_code": "US",
            "telephone_number": "205-991-9892",
            "fax_number": "205-991-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. BURTON GOOCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "GOOCH",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "205-991-9892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.