Mary Elizabeth Goshorn, PHDH, RDH

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

PHDH000740 Issued in PA

Practice address

46 Red Hill CT
Newport, PA 17074-8706

Phone

(717) 230-3919

NPI assigned

Feb 11, 2018

Last updated

Feb 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1265931703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 ARCH ROCK RD",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170599080",
            "telephone_number": "717-829-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RED HILL CT",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748706",
            "telephone_number": "717-230-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PHDH, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "PA",
            "license": "PHDH000740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Rose Feltman, DPT
• Mercedes Fleeger
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• Heather Nicole Forney, CRNP
• Erin Leigh Gilson, FNP-C
• Amber Haines
• Hamilton Health Center, Inc
• Harrisburg Foot and Ankle Center ,Inc
• Michael G Hart
• Hengst Family Dental PC

• Advanced Practice Dental Therapist in Newport, PA
• Providers in Newport, PA by specialty
• Advanced Practice Dental Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; 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.