Individual provider Active NPI

Nikita Goyal, D.D.S

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1477966810
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4094 Issued in NM
Practice address
8310 Palomas Ave NE Ste C
Albuquerque, NM 87109-5286
Phone
(505) 881-0334
Fax
(505) 881-8157
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD4094 NM Primary

Addresses

Primary practice location

8310 Palomas Ave NE Ste C
Albuquerque, NM 87109-5286

Mailing address

8310 Palomas Ave NE Ste C
Albuquerque, NM 87109-5286
Phone (505) 881-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20160420000989 NM Order and Referring Only - DentistPractitioner - Dentist 6406154798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD4094NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Essenmacher DDS LLC CurrentSince Apr 17, 2022 Accepting new patients

Locations

8310 Palomas Ave NE
Ste C
Albuquerque, NM 87109
Phone (505) 588-5330

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1477966810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 PALOMAS AVE NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095286",
            "telephone_number": "505-881-0334",
            "fax_number": "505-881-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 PALOMAS AVE NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095286",
            "telephone_number": "505-881-0334",
            "fax_number": "505-881-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "NIKITA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.