Nishita Surendra Gohel

Primary specialty

DentistTaxonomy code 122300000X

License

019.033221 Issued in IL

Practice address

2701 N Dirksen Pkwy
Springfield, IL 62702-1407

Phone

(217) 492-1400

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• A Gupta Dental PC

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1134408784
  NPD (past)
• Philco Dental Group LLC - Springfield

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1003328675
  NPD (past)
• Philco Dental Group LLC Springfield West

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1407445422
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1457920191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 WINTER PARK RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091352",
            "telephone_number": "248-633-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DIRKSEN PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627021407",
            "telephone_number": "217-492-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2661 S Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627046401",
            "country_code": "US",
            "telephone_number": "217-793-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOHEL",
        "first_name": "NISHITA",
        "middle_name": "SURENDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GNR Chiropractic LLC
• Keir Lon Goatley, M.A.
• Jenna Goeckner, MD
• Ruchika Goel, MD, MPH
• Ashley R Goetze, PT, DPT
• Ishika Ashish Golakiya, MBBS
• Dennis J Goldberg, M.D.
• Leah Goldberg, R.D
• Jonathan N Goldfarb, M.D.
• David Eckstein Goldman, J.D., D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.