Satoshi Go, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS036609 Issued in PA

Practice address

1701 E Moyamensing Ave
Philadelphia, PA 19148-1931

Phone

(215) 462-4047

Fax

(208) 498-4047

NPI assigned

Mar 21, 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 identifiers 1

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.

• Dentex Dental Group

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1770861130
  NPD (past)
• Philadelphia Dental

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1306734447
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497870919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481931",
            "telephone_number": "215-462-4047",
            "fax_number": "208-498-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481931",
            "telephone_number": "215-462-4047",
            "fax_number": "208-498-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "SATOSHI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015859150002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bipul Gnyawali, MD
• Go Coach Transport Inc
• Aidan Go, OD
• Daniel Y Go
• Efren Costibolo Go, M.D.
• Laura M Gober, MD
• Andy S. Goberdhan, MD
• Theodore Gobillot
• Julia Goble, RN, BSN
• Timothy Goblirsch

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.