Active NPI
Brian Goeringer, DMD BS
- Dentist
- Golden, CO
National Provider Identifier
1225407208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202673
- Practice address
- 795 Kilmer St
Golden, CO 80401-4041 - Phone
- (570) 690-1718
- NPI assigned
- Sep 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00202673 | CO | Primary |
Addresses
Primary practice location
795 Kilmer St
Golden, CO 80401-4041
Mailing address
795 Kilmer St
Golden, CO 80401-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202673 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phase 3 LLC | Current | Accepting new patients |
Organizations & group practices 1
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 Clinic/Center
- Golden, CO
- NPI 1164920377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442620800000",
"number": "1225407208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 KILMER ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804014041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 KILMER ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804014041",
"telephone_number": "570-690-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERINGER",
"first_name": "BRIAN",
"credential": "DMD BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-19",
"last_updated": "2015-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00202673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.