ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION (NPI# 1811006067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811006067 |
| Entity Type | Organization |
| Organization Name | ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION |
| Practice Address |
8736 Lake Murray Blvd Ste 108 San Diego CA 92119 |
| Practice Telephone | 6196976677 |
| Practice Fax Number | 6196976632 |
| Mailing Telephone | 6196976677 |
| Mailing Fax Number | 6196976632 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ASHLEY ALLEN GOODMAN (DENTIST OWNER CEO) |
| Authorized Official Telephone | 6196976677 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CA20628 | CA | Dental Providers |
| Street Address |
8736 LAKE MURRAY BLVD STE 108 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462565 | Celena Katherine Wheeler | Behavior Technician | 6965 Golfcrest Dr, San Diego, CA 92119 | 2017-12-12 |
| 1932437969 | Halyna Yevgenivna West | Internal Medicine | 6280 Jackson Drive, Suite #8, San Diego, CA 92119 | 2009-12-02 |
| 1346406303 | Marcel T. Bougher, Dds, Inc | Clinic/Center | 6280 Jackson Drive Suite 1, San Diego, CA 92119 | 2008-07-30 |
| 1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
| 1154429306 | Zoe Cristina Suciu | Dentist | 7424 Jackson Dr, #6, San Diego, CA 92119 | 2006-09-20 |
| 1255442448 | Ashley Allen Goodman | Dentist | 8736 Lake Murry Blvd, Ste 108, San Diego, CA 92119 | 2006-08-31 |
| 1205943495 | Michael Anthony Stefanidis | Dentist | 7424 Jackson Dr #8, San Diego, CA 92119 | 2006-08-24 |
| 1720003056 | Miranda B Williams | Psychologist | 7290 Navajo Rd Ste 105, San Diego, CA 92119 | 2006-07-13 |
| 1003301391 | Allen Chung | Optometrist | 8312 Lake Murray Blvd Ste C, San Diego, CA 92119 | 2018-06-28 |
| 1134666209 | Ryan Hulbert | Chiropractor | 8312 Lake Murray Blvd, Ste O, San Diego, CA 92119 | 2017-01-26 |
| Find all providers in zip 92119 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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| 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.