Organization Active NPI

Bill G. Goble, D.D.S., P.a.

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1164567012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BILL G. GOBLE, D.D.S., P.A.
Practice address
2445 SW Wanamaker Rd
Topeka, KS 66614-5470
Phone
(785) 271-5111
Fax
(785) 271-5556
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Jane Goble, WIFE
Title
Office Administrator
Phone
(785) 271-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2445 SW Wanamaker Rd
Topeka, KS 66614-5470

Mailing address

2445 SW Wanamaker Rd
Topeka, KS 66614-5470
Phone (785) 271-5111

Other identifiers 2

IdentifierTypeStateIssuer
4087586801MedicaidKS
1477542587OtherKSNPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164567012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SW WANAMAKER RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145470",
            "telephone_number": "785-271-5111",
            "fax_number": "785-271-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SW WANAMAKER RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145470",
            "telephone_number": "785-271-5111",
            "fax_number": "785-271-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL G. GOBLE, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "785-271-5111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "WIFE"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4087586801",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1477542587",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.