Dr Jacob Goertz DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR JACOB GOERTZ DMD LLC

Practice address

617 High St Ste 201
Oregon City, OR 97045-2228

Phone

(503) 656-4123

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Goertz, DMDNPI 1093293946

Title

Owner

Phone

(503) 860-2625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goertz Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Daniel Goertz, DMD

  • Dentist
  • Oregon City, OR
  • NPI 1093293946
  NPD Authorized official
• James D Goertz, D.M.D.

  • General Practice Dentistry
  • Oregon City, OR
  • NPI 1588669733
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1114564697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 HIGH ST STE 201",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 HIGH ST STE 201",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452228",
            "telephone_number": "503-656-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JACOB GOERTZ DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "GOERTZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-860-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093293946",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goertz Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josh Martin Dorfner, MA, QMHP
• Spencer Carroll Dowd, BA
• Taylor Dowdy
• Scott Downey
• Dr Christopher Veley DMD
• Kali J Dransfeldt
• George F Drasin, MD
• Gary Carl Dreger, ND LAC
• Drum Counseling, LLC
• Kendra M Duby, LPC, CADC1

• Dental Clinic/Center in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.