Active NPI
Alan a Godel & Justin P Hannon
- Dentist
- Monroe, NC
National Provider Identifier
1962861278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7564
- 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 DirectoryLocations
1228 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 218-2500
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7564 | NC | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9056 | NC |
Addresses
NPPES NPI RegistryPrimary 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.