NPIMap

Organization Active NPI

Sanjeev Goel, DDS, Inc, Opr

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1467500553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANJEEV GOEL, DDS, INC, OPR
Doing business as
Dayton Dental &Orthodontics
Practice address
5200 Salem Avenue
Dayton, OH 45426
Phone
(937) 854-7617
Fax
(937) 837-1554
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sanjeev Goel, DDS
Title
Owner
Phone
(937) 854-7617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X OH Primary

Addresses

Primary practice location

5200 Salem Avenue
Dayton, OH 45426

Mailing address

5200 Salem Avenue
Dayton, OH 45426
Phone (937) 854-7617

Other identifiers 1

IdentifierTypeStateIssuer
2166123MedicaidOH

Other names 1

  • Dayton Dental &Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dayton Dental Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467500553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SALEM AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45426",
            "telephone_number": "937-854-7617",
            "fax_number": "937-837-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SALEM AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45426",
            "telephone_number": "937-854-7617",
            "fax_number": "937-837-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV GOEL, DDS, INC, OPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-854-7617",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Dental &Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.