Active NPI
Elizabeth Lynn Goetsch, RDH
- Dental Hygienist
- Madison, WI
National Provider Identifier
1508000688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1001279-016
- Practice address
- 211 N Carroll St
Madison, WI 53703-2211 - Phone
- (608) 258-2470
- Fax
- (608) 258-2482
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1001279-016 | WI | Primary |
Addresses
Primary practice location
211 N Carroll St
Madison, WI 53703-2211
Mailing address
211 N. Carroll St.
Madison, WI 53703-2285
Phone (608) 258-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001279-016 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matc Dental Hygiene Clinic | Dental Hygienist | Past | Accepting new patients |
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.
-
- Dental Hygienist
- Madison, WI
- NPI 1881842672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1508000688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N. CARROLL ST.",
"city": "MADISON",
"state": "WI",
"postal_code": "537032285",
"telephone_number": "608-258-2470",
"fax_number": "608-258-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N CARROLL ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537032211",
"telephone_number": "608-258-2470",
"fax_number": "608-258-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETSCH",
"first_name": "ELIZABETH",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "1001279-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.