Robert R Goehl, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20531 Issued in CA

Practice address

7675 Dagget St
160
San Diego, CA 92111-2200

Phone

(858) 292-4566

Fax

(858) 292-5217

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bosworth, Inc a Dental Corporation

  • Prosthodontics
  • San Diego, CA
  • NPI 1285786616
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1326247040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST",
            "address_2": "160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112200",
            "telephone_number": "858-292-4566",
            "fax_number": "858-292-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST",
            "address_2": "160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112200",
            "telephone_number": "858-292-4566",
            "fax_number": "858-292-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEHL",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "20531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey T. Godun, D.C.
• Kiera Elysse Godusky, OTR/L
• Stephanie Godwin
• Yannick Goeb, M.D.
• Lauren Irene Goebel, AMFT
• Kayla Nicole Goehring, CF-SLP
• Neha Jain Goel, MS
• Kathleen Pozdol Goeller, PTA
• Madison Lee Goellnitz, DNP, FNP-C
• Linna Goelz, ND

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.