Active NPI
Trisha T. Goldsby D.D.S., P.S.
- General Practice Dentistry
- Chehalis, WA
National Provider Identifier
1578893590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00009040
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5036678 | Medicaid | WA |
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.
-
- Dentist
- Chehalis, WA
- NPI 1124540919
-
- Dentist
- Chehalis, WA
- NPI 1396197307
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.