Prachi Goyal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401416671 Issued in VA

Practice address

9225 Doerr Rd # 1220
Fort Belvoir, VA 22060-2204

Phone

(571) 231-6004

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1124557475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 RICHMOND HWY APT 532",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220601359",
            "telephone_number": "925-266-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD # 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "PRACHI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416671",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin D Gooch, PT
• Adrienne Lynn Goodknight, CNM
• Imen Gool, DMD
• Andrew William Gorr
• Padma Gowda, MD
• Kiely Morgan Grady, DO
• Elder Granger, M.D.
• Sarah Lynne Granger, MD
• Nicholas Erick Grant, PH.D.
• Semaj Talina Grant

• Dentist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; 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.