Organization Active NPI

Trisha T. Goldsby D.D.S., P.S.

  • General Practice Dentistry
  • Chehalis, WA
National Provider Identifier
1578893590
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009040 Issued in WA
Legal business name
TRISHA T. GOLDSBY D.D.S., P.S.
Practice address
388 SW 13TH St
Chehalis, WA 98532-3609
Phone
(360) 748-6624
Fax
(360) 748-4132
NPI assigned
Jan 14, 2010
Organization subpart
Yes
Parent organization
TRISHA T. GOLDSBY D.D.S., P.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Trisha Terumi Goldsby, D.D.S., P.S.
Title
Dentist/President
Phone
(360) 748-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009040 WA Primary

Addresses

Primary practice location

388 SW 13TH St
Chehalis, WA 98532-3609

Mailing address

PO Box 120
Chehalis, WA 98532-0120
Phone (360) 748-6624

Other identifiers 1

IdentifierTypeStateIssuer
5036678MedicaidWA

National Provider Directory

National Provider Directory
Part of
Trisha T Goldsby DDS PS

Locations

388 SW 13th St
Chehalis, WA 98532
Phone (360) 748-6624

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1578893590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320120",
            "telephone_number": "360-748-6624",
            "fax_number": "360-748-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 SW 13TH ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323609",
            "telephone_number": "360-748-6624",
            "fax_number": "360-748-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISHA T. GOLDSBY D.D.S., P.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRISHA T. GOLDSBY D.D.S., P.S.",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "GOLDSBY",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "TERUMI",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "360-748-6624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036678",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.