Active NPI
Richard G Goble, DDS
- General Practice Dentistry
- Fallbrook, CA
National Provider Identifier
1770698409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25892
- Practice address
- 1108 S Main Ave
Fallbrook, CA 92028-3325 - Phone
- (760) 728-2261
- Fax
- (760) 728-2313
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25892 | CA | Primary |
Addresses
Primary practice location
1108 S Main Ave
Fallbrook, CA 92028-3325
Mailing address
1108 S Main Ave
Fallbrook, CA 92028-3325
Phone (760) 728-2261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25892 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770698409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 S MAIN AVE",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283325",
"telephone_number": "760-728-2261",
"fax_number": "760-728-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 S MAIN AVE",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283325",
"telephone_number": "760-728-2261",
"fax_number": "760-728-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBLE",
"first_name": "RICHARD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "25892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.