Organization Active NPI

Suresh N Goel DDS PC

  • Periodontics
  • Pittsford, NY
National Provider Identifier
1235260688
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
051108 Issued in NY
Legal business name
SURESH N GOEL DDS PC
Practice address
151 Sullys TRL
Progressive Implantology & Periodontics
Pittsford, NY 14534-4562
Phone
(585) 385-4867
Fax
(585) 385-4914
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Suresh Nairn Goel, DDS, MS
Title
President
Phone
(585) 385-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 051108 NY Primary

Addresses

Primary practice location

151 Sullys TRL
Progressive Implantology & Periodontics
Pittsford, NY 14534-4562

Mailing address

151 Sullys TRL
Progressive Implantology & Periodontics
Pittsford, NY 14534-4562
Phone (585) 385-4867

Other names 1

  • Progressive Dental Specialists Other name

National Provider Directory

National Provider Directory

Locations

151 Sullys Trl
Pittsford, NY 14534
Phone (585) 385-4867

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1235260688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SULLYS TRL",
            "address_2": "PROGRESSIVE IMPLANTOLOGY & PERIODONTICS",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344562",
            "telephone_number": "585-385-4867",
            "fax_number": "585-385-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SULLYS TRL",
            "address_2": "PROGRESSIVE IMPLANTOLOGY & PERIODONTICS",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344562",
            "telephone_number": "585-385-4867",
            "fax_number": "585-385-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH N GOEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "NAIRN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-385-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "051108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Dental Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.