Organization Active NPI

David J Goetten DMD

  • General Practice Dentistry
  • Jerseyville, IL
National Provider Identifier
1730047812
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID J GOETTEN DMD
Practice address
906 S Liberty St
Jerseyville, IL 62052-2571
Phone
(618) 498-5013
Fax
(618) 498-6723
NPI assigned
Jan 15, 2026
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Dr. David J Goetten, DMDNPI 1770620643
Title
Doctor
Phone
(618) 498-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

906 S Liberty St
Jerseyville, IL 62052-2571

Mailing address

906 S Liberty St
Jerseyville, IL 62052-2571
Phone (618) 498-5013

National Provider Directory

National Provider Directory

Locations

906 S Liberty St
Jerseyville, IL 62052
Phone (618) 498-5013

Practitioners & affiliated clinicians

Practitioners 2

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": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1730047812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S LIBERTY ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522571",
            "telephone_number": "618-498-5013",
            "fax_number": "618-498-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S LIBERTY ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522571",
            "telephone_number": "618-498-5013",
            "fax_number": "618-498-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J GOETTEN DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "GOETTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-498-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.