Albert Charles Goerig, BS,DDS,MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4081 Issued in WA

Practice address

222 Lilly Rd NE Ste a
Olympia, WA 98506-6103

Phone

(360) 459-3636

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Albert Charles Goerig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Science

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1477675007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LILLY RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066103",
            "telephone_number": "360-459-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LILLY RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066103",
            "telephone_number": "360-459-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERIG",
        "first_name": "ALBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "BS,DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBERT",
            "last_name": "GOERIG",
            "middle_name": "CHARLES",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy A Goble, M.D.
• God-S-Land
• Patricia Anne Godleman, LMHP
• Mark Anthony Goebel
• Goerig and Behnen, DDS., P.S. (Northwest Endodontic Specialists)
• David Charles Goerig, DDS
• Silva Goetz, LMHC
• Brittany Goff, ARNP
• Garrett Goforth
• Gary R Goin, MD

• Endodontics in Olympia, WA
• Providers in Olympia, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.