Active NPI
Vernon J. Goin D.D.S. S.C.
- Dental Clinic/Center
- Brillion, WI
National Provider Identifier
1497896492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1437G
- Legal business name
- VERNON J. GOIN D.D.S. S.C.
- Practice address
- 964 W Ryan St
Suite D
Brillion, WI 54110-1076 - Phone
- (920) 756-3313
- NPI assigned
- Feb 11, 2007
- Last updated
- Jan 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vernon John Goin, D.D.S.
- Title
- Dentist
- Phone
- (920) 756-3313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1437G | WI | Primary |
Addresses
Primary practice location
964 W Ryan St
Suite D
Brillion, WI 54110-1076
Mailing address
964 W Ryan St
Suite D
Brillion, WI 54110-1076
Phone (920) 756-3313
National Provider Directory
National Provider DirectoryLocations
964 W Ryan St
Ste D
Brillion, WI 54110
Phone (920) 756-3313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Brillion, WI
- NPI 1023403821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294099200000",
"number": "1497896492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 W RYAN ST",
"address_2": "SUITE D",
"city": "BRILLION",
"state": "WI",
"postal_code": "541101076",
"telephone_number": "920-756-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 W RYAN ST",
"address_2": "SUITE D",
"city": "BRILLION",
"state": "WI",
"postal_code": "541101076",
"telephone_number": "920-756-3313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERNON J. GOIN D.D.S. S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-11",
"last_updated": "2011-01-04",
"status": "A",
"authorized_official_last_name": "GOIN",
"authorized_official_first_name": "VERNON",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "920-756-3313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WI",
"license": "1437G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brillion, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.