Active NPI
Dr. Burton Gooch
- General Practice Dentistry
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5484
- 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, 2019
- 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
- Dr. Burton Gooch, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Birmingham, AL
- NPI 1700905502
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.