Michelle Goldstein, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

057339 Issued in NY

Practice address

2211 Merrick Rd
Merrick, NY 11566-4752

Phone

(516) 365-5439

Fax

(516) 442-1019

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kiddsmiles Pediatric Dentistry 4 PLLC

  • Pediatric Dentistry
  • Merrick, NY
  • NPI 1427448877
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1962824102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664752",
            "telephone_number": "516-365-5439",
            "fax_number": "516-442-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664752",
            "telephone_number": "516-365-5439",
            "fax_number": "516-442-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew E Goldschmidt, D.C
• Andrew Mark Goldstein, MD
• Elisha Tal Goldstein, PSYD
• Karen Goldstein, MSW LCSW DCSW
• Lori Jill Goldstein, LMSW
• Sara Rose Golub, M.S.
• Kimberly Gomez
• Natasha Gooden-Williams, RN
• Michael S Goodstone, PH.D.
• David Gottesfeld, D.D.S.

• Pediatric Dentistry in Merrick, NY
• Providers in Merrick, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.