Individual provider Active NPI

David Charles Goerig, DDS

  • Endodontics
  • Olympia, WA
National Provider Identifier
1396079141
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60102361 Issued in WA
Practice address
222 Lilly Rd NE
Olympia, WA 98506-5031
Phone
(360) 459-3636
Fax
(360) 493-0343
NPI assigned
Sep 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DE60102361 WA Primary

Addresses

Primary practice location

222 Lilly Rd NE
Olympia, WA 98506-5031

Mailing address

222 Lilly Rd NE
Olympia, WA 98506-5031
Phone (360) 459-3636

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

State licenses

LicenseStateTypeSpecialty
DE60102361WAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Goerig and Behnen, DDS., P.S. Endodontics CurrentSince Dec 14, 2025 Accepting new patients

Locations

222 Lilly Rd NE
Olympia, WA 98506
Phone (360) 459-3636

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.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1396079141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065031",
            "telephone_number": "360-459-3636",
            "fax_number": "360-493-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065031",
            "telephone_number": "360-459-3636",
            "fax_number": "360-493-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERIG",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60102361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.