Organization Active NPI

Goroski Dental Corporation

Doing business as Comprehensive Periodontics & Dental Implants

  • Periodontics
  • Paso Robles, CA
National Provider Identifier
1669777199
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
53066 Issued in CA
Legal business name
GOROSKI DENTAL CORPORATION
Doing business as
Comprehensive Periodontics & Dental Implants
Practice address
1036 Vine St
Paso Robles, CA 93446-2559
Phone
(805) 238-9581
Fax
(805) 238-5655
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Dr. Patrick John Goroski, DDSNPI 1912041682
Title
Owner
Phone
(805) 238-9581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 53066 CA Primary

Addresses

Primary practice location

1036 Vine St
Paso Robles, CA 93446-2559

Mailing address

1036 Vine St
Paso Robles, CA 93446-2559
Phone (805) 238-9581

Other names 1

  • Comprehensive Periodontics & Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

1036 Vine St
Paso Robles, CA 93446
Phone (805) 238-9581

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1669777199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462559",
            "telephone_number": "805-238-9581",
            "fax_number": "805-238-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462559",
            "telephone_number": "805-238-9581",
            "fax_number": "805-238-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOROSKI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "GOROSKI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-238-9581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Periodontics & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.