Godel & Associates LLL PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GODEL & ASSOCIATES LLL PLLC

Practice address

121 S Estes Dr Ste 206
Chapel Hill, NC 27514-2868

Phone

(704) 689-1412

Fax

(704) 626-3096

NPI assigned

Apr 14, 2023

Organization subpart

Yes

Parent organization

CHAPEL HILL FAMILY DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Erica Beach

Title

Operations Manager

Phone

(704) 689-1412

Specialties & licenses 3

Addresses

Other names 2

• Chapel Hill Family Dental Care Doing business as
• Raleigh Family Dental Care Doing business as

Tax ID family

Godel Associates LLL PLLC2 organizations share this tax ID, including this one

Part of

Godel Associates LLL PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Godel & Associates III PLLC

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1033977327
  NPD tax ID

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1992491666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 E WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124706",
            "telephone_number": "704-689-1412",
            "fax_number": "704-626-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ESTES DR STE 206",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142868",
            "telephone_number": "704-689-1412",
            "fax_number": "704-626-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Ronald Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096224",
            "country_code": "US",
            "telephone_number": "704-689-1412",
            "fax_number": "704-626-3096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GODEL & ASSOCIATES LLL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAPEL HILL FAMILY DENTAL CARE",
        "enumeration_date": "2023-04-14",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-689-1412"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel Hill Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Glorioso, NNP-BC
• Jana M Glotzer, ACNP
• Brian Robert Glover, DDS
• Samantha Ann Glover, DDS
• Jessica Willis Goad, M.D.
• Bryan John Godfrey, LCSW
• Jacob J Godfrey, PH.D.
• Tamara Faith Godfrey, MD
• Kelly Lence Godinho, LCSW
• Franco Bernard Godoy, MD

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.