Individual provider Active NPI

Sheenu Goel, DDS

  • Endodontics
  • Dayton, OH
National Provider Identifier
1417106345
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
30.022979 Issued in OH
Practice address
4235 Indian Ripple Rd.
Suite 200a
Dayton, OH 45440
Phone
(513) 942-8181
Fax
(513) 682-6188
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 30.022979 OH Primary

Addresses

Primary practice location

4235 Indian Ripple Rd.
Suite 200a
Dayton, OH 45440

Mailing address

4235 Indian Ripple Rd.
Suite 200a
Dayton, OH 45440
Phone (513) 942-8181

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
30.022979OHMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Dental Specialties Endodontics Past Accepting new patients
Dental Specialties of West Chester Past Accepting new patients

Organizations & group practices 2

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1417106345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD.",
            "address_2": "SUITE 200A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45440",
            "telephone_number": "513-942-8181",
            "fax_number": "513-682-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD.",
            "address_2": "SUITE 200A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45440",
            "telephone_number": "513-942-8181",
            "fax_number": "513-682-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "SHEENU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.022979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.