Individual provider Active NPI

Martin George Goebbel, DDS

  • General Practice Dentistry
  • Rio Rancho, NM
National Provider Identifier
1669507737
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD1523 Issued in NM
Practice address
2716 Southern Blvd SE
Rio Rancho, NM 87124-3741
Phone
(505) 892-8600
Fax
(505) 892-4215
NPI assigned
Feb 22, 2007
Last updated
Mar 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD1523 NM Primary

Addresses

Primary practice location

2716 Southern Blvd SE
Rio Rancho, NM 87124-3741

Mailing address

2716 Southern Blvd SE
Rio Rancho, NM 87124-3741
Phone (505) 892-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170412000928 NM Practitioner - Oral Surgery 9830416403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1523NMMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Sleep Center, LLC General Practice Current Accepting new patients

Locations

2716 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 892-8600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1669507737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 SOUTHERN BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243741",
            "telephone_number": "505-892-8600",
            "fax_number": "505-892-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 SOUTHERN BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243741",
            "telephone_number": "505-892-8600",
            "fax_number": "505-892-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBBEL",
        "first_name": "MARTIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.