DR. MARK ALLEN GOLDMAN (NPI# 1407111560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407111560 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN GOLDMAN |
| Credential | DDS |
| Practice Address |
2995 Churchland Blvd Suite A Chesapeake VA 23321-5642 |
| Practice Telephone | 7576380900 |
| Practice Fax Number | 7576380944 |
| Mailing Telephone | 7576380900 |
| Mailing Fax Number | 7576380944 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401006538 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972942761 | Mark Adam Goldman | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2013-06-14 |
| 1053512285 | Mark Jason Goldman | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2007-05-28 |
| 1740335579 | Mark David Goldman | Internal Medicine | 110 Irving St Nw, Suite 4b1, Washington, DC 20010-2976 | 2007-01-24 |
| 1144398298 | Mark Goldman | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-30 |
| 1740399328 | Mark P Goldman | Clinical Neuropsychologist | 222 Sidney Baker St S, Suite 500, Kerrville, TX 78028-5994 | 2006-08-29 |
| 1225044423 | Mark J Goldman | Radiology | 990 Stewart Ave, Garden City, NY 11530-4822 | 2006-07-31 |
| 1215997846 | Mark R Goldman | Specialist | 2000 Washington St, Suite 562, Newton, MA 02462-1650 | 2006-03-27 |
| Street Address |
2995 CHURCHLAND BLVD SUITE A |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295746261 | Robert M. Edmonds | Dentist | 2995 Churchland Blvd, Suite B, Chesapeake, VA 23321-5642 | 2006-08-11 |
| 1437286101 | Dr. Robert M. Edmonds, Ltd. | Dentist | 2995 Churchland Blvd, Suite B, Chesapeake, VA 23321-5642 | 2007-02-28 |
| 1689754277 | Drs Bussey Mayo Archer Ltd | Dentist | 2995 Churchland Blvd, Chesapeake, VA 23321 | 2006-10-17 |
| 1437244407 | Mark A. Goldman, Dds, PC | Clinic/Center | 2995 Churchland Blvd, Suite A, Chesapeake, VA 23321-5642 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1457980658 | Harold J Marioneaux Jr. | Dentist | 504 Mill Stone Rd, Chesapeake, VA 23322-4367 | 2020-04-08 |
| 1750860623 | Irtiza Ghulam Abbas | Dentist | 1419 Cedar Rd Ste 100, Chesapeake, VA 23322-7492 | 2018-08-10 |
| 1801380134 | Ryan Clark Shuck | Dentist | 3326 Taylor Rd, Chesapeake, VA 23321-2518 | 2018-06-20 |
| 1811406614 | Dental Professionals of Virginia, P.C. | Dentist | 249 Hanbury Rd E Ste 110, Chesapeake, VA 23322-6623 | 2017-09-25 |
| 1114331782 | Darrell L Boyce | Dentist | 1711 Parkview Dr, Chesapeake, VA 23320-2630 | 2014-06-11 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1750718177 | Vacendak Dentistry, Pllc | Dentist | 701 Quince Place, Chesapeake, VA 23320 | 2013-09-30 |
| 1376983593 | Shefali Parekh | Dentist | 1533 Volvo Pkwy Ste 100, Chesapeake, VA 23320-8489 | 2013-07-02 |
| 1942565213 | Krystie M Niver | Dentist | 236 Carmichael Way, Suite # 312, Chesapeake, VA 23322-2185 | 2012-07-11 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on DR. MARK ALLEN GOLDMAN.
| 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.