Active NPI
Craig Allen Goliber, D.M.D.
- General Practice Dentistry
- Essex JCT, VT
National Provider Identifier
1588040547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 016.0134138FCTY
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134138FCTY | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig a Goliber DMD PLLC | General Practice | Current | Accepting new patients |
Locations
68 Maple St
Essex Junction, VT 05452
Phone (802) 878-4869
Interoperability endpoints
- 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.
-
- General Practice Dentistry
- Essex Junction, VT
- NPI 1659080554
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.