Layne Christopher Godzina, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019154 Issued in MI

Practice address

422 First Street
Manistee, MI 49660

Phone

(231) 723-2954

Fax

(231) 723-9310

NPI assigned

Feb 19, 2007

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Layne Godzina DDS PLLC

  • Dental Clinic/Center
  • Manistee, MI
  • NPI 1679183479
  NPD Authorized official
• Justin P Terry DDS PLLC

  • General Practice Dentistry
  • Manistee, MI
  • NPI 1750243853
  NPD (past)
• Water'S Edge Dentistry

  • Dentist
  • Manistee, MI
  • NPI 1558587626
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1144364381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 1ST ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 FIRST STREET",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "49660",
            "telephone_number": "231-723-2954",
            "fax_number": "231-723-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODZINA",
        "first_name": "LAYNE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Gates, RPH
• Aric Todd Geerlings, D.D.S.
• Gentle Touch Nursing
• Jacqueline Gilbert
• Kate Gilbert, PHARMD
• Goodwill Optical Inc
• Lois Rose Goslinoski, DO
• Steven Mark Gould, OD
• Keegan Gramza
• Greenlund Enterprises, Inc

• Dentist in Manistee, MI
• Providers in Manistee, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.