Organization Active NPI

Godel & Associates TN PLLC

  • General Practice Dentistry
  • Antioch, TN
National Provider Identifier
1962312645
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GODEL & ASSOCIATES TN PLLC
Practice address
5357 Mount View Rd
Antioch, TN 37013-2308
Phone
(704) 689-1412
Fax
(703) 626-3096
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Erica Beach
Title
Operations Manager
Phone
(704) 689-1412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

5357 Mount View Rd
Antioch, TN 37013-2308

Mailing address

417 Willow Brook Dr
Matthews, NC 28105-1831
Phone (704) 689-1412

National Provider Directory

National Provider Directory

Locations

5357 Mount View Rd
Antioch, TN 37013
Phone (615) 731-8960

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1962312645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 WILLOW BROOK DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051831",
            "telephone_number": "704-689-1412",
            "fax_number": "704-626-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 MOUNT VIEW RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132308",
            "telephone_number": "704-689-1412",
            "fax_number": "703-626-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODEL & ASSOCIATES TN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-689-1412"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.