Individual provider Active NPI

Raj Gohill, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aventura, FL
National Provider Identifier
1700062171
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN15020 Issued in FL
Practice address
19495 Biscayne Blvd Ste 203
Aventura, FL 33180-2338
Phone
(305) 937-4500
Fax
(305) 937-4408
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN15020 FL Primary

Addresses

Primary practice location

19495 Biscayne Blvd Ste 203
Aventura, FL 33180-2338

Mailing address

19495 Biscayne Blvd Ste 203
Aventura, FL 33180-2338
Phone (305) 937-4500

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN15020FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1700062171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19495 BISCAYNE BLVD STE 203",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802338",
            "telephone_number": "305-937-4500",
            "fax_number": "305-937-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19495 BISCAYNE BLVD STE 203",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802338",
            "telephone_number": "305-937-4500",
            "fax_number": "305-937-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHILL",
        "first_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN15020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.