Individual provider Active NPI

Trisha Terumi Goldsby, D.D.S.

  • General Practice Dentistry
  • Centralia, WA
National Provider Identifier
1447344700
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009040 Issued in WA
Practice address
2409 Borst Ave
Centralia, WA 98531-1411
Phone
(360) 736-8380
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009040 WA Primary

Addresses

Primary practice location

2409 Borst Ave
Centralia, WA 98531-1411

Mailing address

508 Kirkland Rd
Chehalis, WA 98532-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20150709001790 WA Order and Referring Only - DentistPractitioner - Dentist 5799097309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00009040WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ash & Roberts DDS PLLC General Practice PastSince Dec 3, 2023 Accepting new patients

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1447344700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 KIRKLAND RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 BORST AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311411",
            "telephone_number": "360-736-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBY",
        "first_name": "TRISHA",
        "middle_name": "TERUMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.