S Goh DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S GOH DDS INC

Practice address

3200 Adams Ave Ste 202
San Diego, CA 92116-1643

Phone

(347) 463-2389

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shinyoung Goh, DDSNPI 1083970008

Title

Dentist

Phone

(347) 463-2389

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shinyoung Goh, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1083970008
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1447824040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE STE 103-622",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ADAMS AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161643",
            "telephone_number": "347-463-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S GOH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "SHINYOUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "347-463-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "104788",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ryu, M.D.
• Sylvvari Ryu'Xtiel, L. AC
• Mark Jude Rywelski
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• S Michael Millbern MD Medical Corporation
• S Smith Coaching
• S-H Opco Carmel Valley, LLC

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.