Individual provider Active NPI

Nicholas Evan Goetz, D.M.D.

  • Prosthodontics
  • Boynton Beach, FL
National Provider Identifier
1629356365
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN 19346 Issued in FL
Practice address
101 SE 27TH Ave
Boynton Beach, FL 33435-7632
Phone
(561) 265-1998
Fax
(561) 265-3494
NPI assigned
Jul 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN 19346 FL Primary

Addresses

Primary practice location

101 SE 27TH Ave
Boynton Beach, FL 33435-7632

Mailing address

101 SE 27TH Ave
Boynton Beach, FL 33435-7632
Phone (352) 273-6901

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 19346FLMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1629356365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SE 27TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357632",
            "telephone_number": "352-273-6901",
            "fax_number": "352-846-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SE 27TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357632",
            "telephone_number": "561-265-1998",
            "fax_number": "561-265-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "NICHOLAS",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN 19346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.