Mike M Golpa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3510 Issued in NV

Practice address

6420 Medical Center St
Las Vegas, NV 89148-2402

Phone

(702) 641-7111

Fax

(702) 891-0102

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dental Implant Specialists of Nevada, Golpa PC

  • Dentist
  • Las Vegas, NV
  • NPI 1720783277
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1164609129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 MEDICAL CENTER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482402",
            "telephone_number": "702-641-7111",
            "fax_number": "702-891-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 MEDICAL CENTER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482402",
            "telephone_number": "702-641-7111",
            "fax_number": "702-891-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLPA",
        "first_name": "MIKE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Gollihar
• Daniel Golod
• Dorin Gologan
• Samantha Golonka
• Denys V Goloshchapov, MD
• Afshin Golshan
• Shambre Golsten
• Beverly Golston
• Ladonna Golston
• Danijela Golub, BS

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.