Organization Active NPI

Vernon J. Goin D.D.S. S.C.

  • Dental Clinic/Center
  • Brillion, WI
National Provider Identifier
1497896492
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1437G Issued in WI
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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.NPI 1023403821
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.