Organization Active NPI

Alan a Godel & Justin P Hannon

  • Dentist
  • Monroe, NC
National Provider Identifier
1962861278
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7564 Issued in NC
Legal business name
ALAN A GODEL & JUSTIN P HANNON
Practice address
1228 W Roosevelt Blvd
Monroe, NC 28110-3383
Phone
(704) 218-2500
NPI assigned
Feb 15, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Alan A Godel, DDS
Title
Owner
Phone
(704) 218-2500

National Provider Directory

National Provider Directory

Locations

1228 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 218-2500

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7564 NC Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 9056 NC

Addresses

NPPES NPI Registry

Primary practice location

1228 W Roosevelt Blvd
Monroe, NC 28110-3383

Mailing address

1228 W Roosevelt Blvd
Monroe, NC 28110-3383
Phone (704) 218-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2016.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1962861278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 W ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103383",
            "telephone_number": "704-218-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 W ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103383",
            "telephone_number": "704-218-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN A GODEL & JUSTIN P HANNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GODEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-218-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7564",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "9056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.