Marlon a Goad DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6537 Issued in VA

Legal business name

MARLON A GOAD DDS PC

Practice address

1201 N Main St
Hillsville, VA 24343

Phone

(276) 728-5899

Fax

(276) 728-2706

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marlon A Goad, DDSNPI 1740364751

Title

Dentist

Phone

(276) 728-5899

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlon A Goad, DDS

  • General Practice Dentistry
  • Hillsville, VA
  • NPI 1740364751
  NPD (past) Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1972786523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-728-5899",
            "fax_number": "276-728-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MAIN ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-728-5899",
            "fax_number": "276-728-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLON A GOAD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GOAD",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "276-728-5899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178625",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee Lane, SLP
• Living Water Counseling Ministry
• Living Water Counseling Ministry Inc.
• Luke Mackowiak, PT, DPT
• Tommi Suszan Malavolti, D.C.
• Sonya Kaye Martin, D.D.S.
• Barry Marshall Mayberry, M.D.
• Conor Christian McKenna
• Katie L McKown, D.C.
• Robin McMillian, LPC

• General Practice Dentistry in Hillsville, VA
• Providers in Hillsville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.