Brett S. Goymerac, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17842 Issued in MI

Practice address

760 W Washington St
Marquette, MI 49855-4138

Phone

(906) 228-4646

NPI assigned

Apr 10, 2006

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brett S. Goymerac DDS PC

  • General Practice Dentistry
  • Marquette, MI
  • NPI 1174602262
  NPD (past) Authorized official
• James P Vanlandschoot

  • Dentist
  • Marquette, MI
  • NPI 1053459222
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1356304422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEATHER LN",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559396",
            "telephone_number": "906-249-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554138",
            "telephone_number": "906-228-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYMERAC",
        "first_name": "BRETT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonnie Gobert
• Emily Frances Godec, MD
• Hailey Elizabeth Godfrey, PHARMD
• Alexandrea Renee Gonzalez, BCBA - LBA
• Jennifer Gorton, MS, LLPC
• Grace Brindle, LLC
• Kara Graci, LLMSW
• Caleb Grams
• David Christian Grant, MD
• Alexandra H Gray

• General Practice Dentistry in Marquette, MI
• Providers in Marquette, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.