Individual provider Active NPI

Gurkan Goktug, DDS, DMD

  • Prosthodontics
  • North Andover, MA
National Provider Identifier
1720118417
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9196 Issued in MA
Practice address
132B Main St
North Andover, MA 01845-2434
Phone
(978) 686-6212
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9196 MA Primary

Addresses

Primary practice location

132B Main St
North Andover, MA 01845-2434

Mailing address

22 Benefit St
Methuen, MA 01844-1504
Phone (978) 682-0296

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

LicenseStateTypeSpecialty
9196MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
GG Prosthodontics Prosthodontics CurrentSince Dec 24, 2023 Accepting new patients

Locations

132 Main St
#B
North Andover, MA 01845
Phone (978) 686-6212

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1720118417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BENEFIT ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441504",
            "telephone_number": "978-682-0296",
            "fax_number": "978-682-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132B MAIN ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452434",
            "telephone_number": "978-686-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKTUG",
        "first_name": "GURKAN",
        "name_prefix": "Dr.",
        "credential": "DDS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "9196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.