Organization Active NPI

Sanjeev Goel, DDS, Inc, Opr.

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1558419648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANJEEV GOEL, DDS, INC, OPR.
Practice address
2700 Miamisburg Centerville Road
Dayton, OH 45459
Phone
(937) 433-1494
Fax
(937) 433-7763
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sanjeev Goel, DDS
Title
Owner
Phone
(937) 433-1494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X OH Primary

Addresses

Primary practice location

2700 Miamisburg Centerville Road
Dayton, OH 45459

Mailing address

2700 Miamisburg Centerville Road
Dayton, OH 45459
Phone (937) 433-1494

Other identifiers 1

IdentifierTypeStateIssuer
2166150MedicaidOH

Other names 1

  • Dayton Dental & Orthodontice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dayton Dental Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558419648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MIAMISBURG CENTERVILLE ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-433-1494",
            "fax_number": "937-433-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MIAMISBURG CENTERVILLE ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-433-1494",
            "fax_number": "937-433-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV GOEL, DDS, INC, OPR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-433-1494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166150",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Dental & Orthodontice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.