Active NPI
Eugene Albert Goldschmidt I
- Dentist
- Arroyo Grande, CA
National Provider Identifier
1962828459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54370
- Practice address
- 236 S Halcyon Rd
Arroyo Grande, CA 93420-3118 - Phone
- (805) 498-1495
- Fax
- (805) 489-0556
- NPI assigned
- Mar 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54370 | CA | Primary |
Addresses
Primary practice location
236 S Halcyon Rd
Arroyo Grande, CA 93420-3118
Mailing address
236 S Halcyon Rd
Arroyo Grande, CA 93420-3118
Phone (805) 498-1495
Other names 1
- Dr. Eugene Albert Goldschmidt I
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54370 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394323200000",
"number": "1962828459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203118",
"telephone_number": "805-498-1495",
"fax_number": "805-489-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203118",
"telephone_number": "805-498-1495",
"fax_number": "805-489-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSCHMIDT",
"first_name": "EUGENE",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-09",
"last_updated": "2014-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENE",
"last_name": "GOLDSCHMIDT",
"middle_name": "ALBERT",
"prefix": "DR.",
"suffix": "I",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.