Organization Active NPI

Goergy RFD LLC

  • Dentist
  • Rocky River, OH
National Provider Identifier
1710611512
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GOERGY RFD LLC
Practice address
21851 Center Ridge Rd Ste 415
Rocky River, OH 44116-3901
Phone
(440) 864-9664
NPI assigned
Jul 15, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Mark Goergy, DMD
Title
Owner
Phone
(440) 864-9664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

21851 Center Ridge Rd Ste 415
Rocky River, OH 44116-3901

Mailing address

4322 S Cleveland Massillon Rd
Norton, OH 44203-5718
Phone (440) 864-9664

Other names 1

  • Goergydent BHFD LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@myriverfamilydentist.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1710611512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 S CLEVELAND MASSILLON RD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442035718",
            "telephone_number": "440-864-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD STE 415",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163901",
            "telephone_number": "440-864-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOERGY RFD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "GOERGY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-864-9664",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@myriverfamilydentist.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21851 Center Ridge Rd Ste 415",
            "city": "Rocky River",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441163901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Goergydent BHFD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Goergydent BHFD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.