Kristin Marie Goolsbey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN00202139 Issued in CO

Practice address

14807 W 64TH Ave
Arvada, CO 80007-0104

Phone

(303) 456-4095

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kristin Marie Grae Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Dental Services Inc

  dba The Smile Center

  • General Practice Dentistry
  • Big Lake, MN
  • NPI 1013069012
  NPD (past)
• Modern Dental Professionals MN PC

  dba Midwest Dental

  • General Practice Dentistry
  • Big Lake, MN
  • NPI 1215307061
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1538488796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14807 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800070104",
            "telephone_number": "303-456-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14807 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800070104",
            "telephone_number": "303-456-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBEY",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00202139",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GRAE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Gonzalez
• Good Things a Mental Health Collective
• Amanda Goodenow
• David Goodfield, DC
• Jessica Wilson Goodnight, LMT
• Goq (Gardens On Quail)
• Hadley Gordon, MS, RDN, LDN
• Jillian Gordon, RDH, NBC-HWC
• Darrell Eugene Gorman, M.D.
• Ethan T Gorman, DDS

• Dentist in Arvada, CO
• Providers in Arvada, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.