Organization Active NPI

David J. Goeckel DDS PC

  • Dentist
  • Saint Johns, MI
National Provider Identifier
1194857573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012334 Issued in MI
Legal business name
DAVID J. GOECKEL DDS PC
Practice address
107 Spring St
Saint Johns, MI 48879-1531
Phone
(989) 224-4712
NPI assigned
Mar 11, 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
Dr. David Jon Goeckel, DDSNPI 1982818670
Title
President
Phone
(989) 224-4712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 012334 MI Primary

Addresses

Primary practice location

107 Spring St
Saint Johns, MI 48879-1531

Mailing address

107 Spring St
Saint Johns, MI 48879-1531
Phone (989) 224-4712

National Provider Directory

National Provider Directory

Locations

107 Spring St
Saint Johns, MI 48879
Phone (989) 224-4712

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194857573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SPRING ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791531",
            "telephone_number": "989-224-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SPRING ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791531",
            "telephone_number": "989-224-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. GOECKEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOECKEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-224-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "012334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

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.