Active NPI
Aja Bianca Gobar, DDS
- Dentist
- Raleigh, NC
National Provider Identifier
1417108671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9448
- Practice address
- 200 Swinburne St
Raleigh, NC 27610 - Phone
- (919) 250-1033
- Fax
- (919) 743-4857
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9448 | NC | Primary |
Addresses
Primary practice location
200 Swinburne St
Raleigh, NC 27610
Mailing address
PO Box 46087
Raleigh, NC 27620-6087
Phone (919) 250-1033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9448 | Other | NC | DENTAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9448 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1417108671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46087",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276206087",
"telephone_number": "919-250-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SWINBURNE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-250-1033",
"fax_number": "919-743-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBAR",
"first_name": "AJA",
"middle_name": "BIANCA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "9448",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.