Marianna Goetz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019030862 Issued in IL

Practice address

6749 N Oshkosh Ave
Chicago, IL 60631-1162

Phone

(773) 631-5141

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1396198909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 N OSHKOSH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311162",
            "telephone_number": "773-631-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 N OSHKOSH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311162",
            "telephone_number": "773-631-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "MARIANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Goetter, APN RN
• Ami Goetz, LSW, PEL
• Celine Goetz, MD
• Christopher Graves Goetz, MD
• Jillian Carey Goetz
• Paul William Goetz, PH.D.
• Wendy Ellen Goetz, PSY.D.
• Derek Goff
• Marlee Rose Goff, PA-C
• Pia Alexandra Goff, PSY.D.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.