Dustin Goetz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019029887 Issued in IL

Practice address

201 N Constitution Dr
Aurora, IL 60506-3200

Phone

(630) 840-2640

NPI assigned

Jul 26, 2014

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGDEAA

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.

• Midwest Sleep Center, PC

  • Customized Equipment (DME)
  • Aurora, IL
  • NPI 1942945225

  Dentist

  NPD Authorized official

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1760890453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25460 W SCOTT RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102423",
            "telephone_number": "847-254-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CONSTITUTION DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063200",
            "telephone_number": "630-840-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin S Go Yao, P.T.
• Goat Mass Swabs Inc
• Ernesto A Godoy-Romero, MD
• Elizabeth D Godwin, DPT
• Suzanne Goering
• Calena Goins, MSN, APRN, FNP-BC
• Golden Light Health Services
• Golden Light Health Services
• Amanda Aller Goldman, PHD, LCPC
• Bryce Goll

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.