Dishti Goyal

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2025021470 Issued in MO

Practice address

11437 Olive Blvd
Creve Coeur, MO 63141-7108

Phone

(314) 355-2000

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alex Sharifian D.D.S., Creve Coeur Dentistry, P.C.

  dba Creve Coeur Dentistry

  • Dentist
  • Creve Coeur, MO
  • NPI 1821487596
  NPD (past)

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1679469647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 REDMOND CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031490",
            "telephone_number": "573-239-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417108",
            "telephone_number": "314-355-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "DISHTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2025021470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Pharmalife LLC (Pharma Life)
• Global Pharmalife LLC (Pharma Life)
• Maria Ximena Godoy
• Robert James Gordon, PH.D.
• Kelly Risheill Gossrau
• Kristen Grandstaff, DPT
• David Grant, MPT, COMT
• Nikki Mary Grant, M.A.SLP
• William Arthur Grass, ARNP
• Victoria Graves

• General Practice Dentistry in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.