ALAN R GOULD (NPI# 1043229545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043229545 |
Entity Type | Individual |
Full Name | ALAN R GOULD |
Credential | DDS, MS |
Practice Address |
5805 W Highway 22 Crestwood KY 40014-7244 |
Mailing Address |
1169 Eastern Pkwy Suite G71 Louisville KY 40217-1417 |
Practice Telephone | 5022417116 |
Practice Fax Number | 5022412339 |
Mailing Telephone | 5024566217 |
Mailing Fax Number | 5024564440 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2017-01-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
12010715A | IN | Dental Providers |
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4925 | KY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CIGNA HEALTHCARE | 6222055 | 01 | |
KY | PASSPORT ADVANTAGE | 2444790000 | 01 |
IN | 200022760 | 05 | |
RAILROAD MEDICARE | P00155545 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053351098 | Alan Jay Gould | Dentist | 15068 Jog Rd, Delray Beach, FL 33446-1218 | 2006-06-07 |
Street Address |
5805 W HIGHWAY 22 |
City | CRESTWOOD |
State | KY |
Zip Code | 40014-7244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134236359 | Thomas Jaggers Clark | Dentist | 5805 W Highway 22, Crestwood, KY 40014-7244 | 2006-08-24 |
1942317169 | James Marcus Wenninger | Dentist | 5805 W Highway 22, Crestwood, KY 40014-7244 | 2006-08-24 |
1558370031 | Alan R Gould Dds Ms LLC | Dentist | 5805 W Highway 22, Crestwood, KY 40014-7244 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
1760658546 | Kathy J. Pansegrau, Dc, Psc | Chiropractor | 6402 Westwind Way, Suite 5, Crestwood, KY 40014 | 2008-05-01 |
1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
Find all providers in zip 40014 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558370031 | Alan R Gould Dds Ms LLC | Dentist | 5805 W Highway 22, Crestwood, KY 40014-7244 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831530641 | Molly Housley Smith | Dentist | Uk College of Dentistry 800 Rose Street Rm 530, Lexington, KY 40536-0001 | 2013-07-09 |
1922299387 | Brian Spencer Shumway | Dentist | School of Dentistry 501 South Preston Street, Faculty Practice, Suite 334, Louisville, KY 40292-0001 | 2007-08-09 |
1619046646 | Howard Dale Klein | Dentist | 1313 Lyndon Lane, Suite 214, Louisville, KY 40222-7302 | 2006-11-06 |
1740253509 | Craig B Fowler | Dentist | 800 Rose St Mn530, Uk Oral Pathology Lab, Ukmc Rm, Lexington, KY 40536-0297 | 2006-02-10 |
1225019748 | Thomas M. Thompson | Dentist | 1848 Lyda Ave, Bowling Green, KY 42104-3361 | 2005-11-10 |
1649261850 | Jeffrey M Clark | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2005-11-04 |
1578829974 | Rashidah Tynetta Wiley | Dentist | 800 Rose St, Lexington, KY 40536 | 2012-04-10 |
1437315272 | Shane Anthony Williams | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2008-07-31 |
1013104892 | Southern Kentucky Oral Surgery Associates Pllc | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2007-09-26 |
1891843504 | Jerry E Cohron | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2007-01-08 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ALAN R GOULD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.