Kory John Golchert, DDS, PHD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

102387 Issued in CA

Practice address

1200 Rosecrans Ave Ste 101
Manhattan Beach, CA 90266-2470

Phone

(310) 615-1022

NPI assigned

Jun 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Yigal Zibari, D.D.S., a Professional Dental Corporation

  • Endodontics
  • Manhattan Beach, CA
  • NPI 1073365342
  NPD
• Newport Endodontic Group

  • Endodontics
  • Newport Beach, CA
  • NPI 1366572679
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1508394644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 401",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607705",
            "telephone_number": "949-644-0595",
            "fax_number": "949-644-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 101",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-615-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLCHERT",
        "first_name": "KORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102387",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "102387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Gilbert, MA LMFT
• Amy A Gimlen, DDS MS
• Sandra Gleason, NBC-HWC
• William V Glenn, MD
• Megan Enge Glotz, LMFT
• Jennifer Ann Gomez
• Efrain Gonzalez, M.ED., BCBA
• Karen Kiyon Goud, PHARM.D.
• Gould Dental Corporation
• Joel David Gould, DDS

• Endodontics in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.