Elaine M Hoppes-Goroshko, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-026062-L Issued in PA

Practice address

517 E Broad St
Tamaqua, PA 18252-2109

Phone

(570) 668-5588

Fax

(570) 668-0885

NPI assigned

Nov 14, 2008

Last updated

Nov 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1477707511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E BROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182522109",
            "telephone_number": "570-668-5588",
            "fax_number": "570-668-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E BROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182522109",
            "telephone_number": "570-668-5588",
            "fax_number": "570-668-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPES-GOROSHKO",
        "first_name": "ELAINE",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-026062-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela G Houser, MD
• Jeffrey Hudak, EP
• Omama Humayun, MD
• Indiju 7 Dental LLC (Sherry Dental Tamaqua)

• General Practice Dentistry in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.