Gary James Goebel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

7017 John Deere Pkwy
Suite 2 B
Moline, IL 61265-8072

Phone

(309) 278-0345

Fax

(309) 278-0347

NPI assigned

Apr 1, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Parkway View Family Dentistry LTD

  • General Practice Dentistry
  • Moline, IL
  • NPI 1154451847
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1689846438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 JOHN DEERE PKWY",
            "address_2": "SUITE 2 B POB 1266",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658072",
            "telephone_number": "309-278-0345",
            "fax_number": "309-278-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 JOHN DEERE PKWY",
            "address_2": "SUITE 2 B",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658072",
            "telephone_number": "309-278-0345",
            "fax_number": "309-278-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris J Gist, MD
• Earl G Gloeckner, M.D.
• Janee Glover
• John Gnatovich, D.D.S.
• Goebel Family Dentistry, LLC
• Thomas James Goebel, D.D.S.
• Michelle Faye Ai-Koon Goh, D.D.S.
• Nina Golden, P.T.
• Good Samaritan Free Clinic
• Terrina M Gosa

• Dentist in Moline, IL
• Providers in Moline, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.