Erika Ileen Goebel

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902018470 Issued in MI

Practice address

876 N Van Dyke Rd
Bad Axe, MI 48413-9016

Phone

(989) 623-0137

Fax

(989) 921-4977

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1114491016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071203",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 N VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139016",
            "telephone_number": "989-623-0137",
            "fax_number": "989-921-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "ERIKA",
        "middle_name": "ILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902018470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Gerisch, MA, LPC
• Tennille Rochelle Gibson, LMSW
• Kathleen Gilbert
• Michael Gilbert
• Laurie L Gillingham, LMSW
• Christopher Brian Gong, MD
• Alexis Gonzales
• Bethany Gonzales
• Sofia Goodro
• Leigha Grannell

• Dental Hygienist in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.