Individual provider Active NPI

Craig Allen Goliber, D.M.D.

  • General Practice Dentistry
  • Essex JCT, VT
National Provider Identifier
1588040547
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016.0134138FCTY Issued in VT
Practice address
68 Maple St
Essex JCT, VT 05452-3772
Phone
(802) 878-4869
NPI assigned
Jul 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 016.0114201 VT
General Practice Dentistry 1223G0001X 016.0134138FCTY VT Primary

Addresses

Primary practice location

68 Maple St
Essex JCT, VT 05452-3772

Mailing address

25 Lang Dr
Essex JCT, VT 05452-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.0134138FCTYVTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Craig a Goliber DMD PLLC General Practice CurrentSince Nov 20, 2022 Accepting new patients

Locations

68 Maple St
Essex Junction, VT 05452
Phone (802) 878-4869

Interoperability endpoints

  • Direct secure messaging: craig.goliber@chslv.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1588040547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LANG DR",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAPLE ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523772",
            "telephone_number": "802-878-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIBER",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0114201",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0134138FCTY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex JCT, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.