Active NPI
Goly Motameni Barar, DDS
- General Practice Dentistry
- Redwood City, CA
National Provider Identifier
1689740672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46555
- Practice address
- 3221 Jefferson Avenue
Suite 2
Redwood City, CA 94062-3096 - Phone
- (650) 365-3516
- Fax
- (650) 365-6166
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46555 | CA | Primary |
Addresses
Primary practice location
3221 Jefferson Avenue
Suite 2
Redwood City, CA 94062-3096
Mailing address
3221 Jefferson Avenue
Suite 2
Redwood City, CA 94062-3096
Phone (650) 365-3516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46555 | Other | CA | DENTAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46555 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689740672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 JEFFERSON AVENUE",
"address_2": "SUITE 2",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940623096",
"telephone_number": "650-365-3516",
"fax_number": "650-365-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 JEFFERSON AVENUE",
"address_2": "SUITE 2",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940623096",
"telephone_number": "650-365-3516",
"fax_number": "650-365-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAR",
"first_name": "GOLY",
"middle_name": "MOTAMENI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "46555",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.