Nannette D Goyer

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008133 Issued in WA

Practice address

217 S 2ND Ave
Walla Walla, WA 99362-3002

Phone

(509) 525-7250

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Sleep Therapy of Walla Walla PLLC

  dba Dental Sleep Therapy of Walla Walla

  • Prosthetic/Orthotic Supplier
  • Walla Walla, WA
  • NPI 1174807853
  NPD (past) Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811918154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623002",
            "telephone_number": "509-525-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623002",
            "telephone_number": "509-525-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYER",
        "first_name": "NANNETTE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5031281",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Goff
• Gary Dean Gonthier, RN
• Alicia Gonzalez-Ayala, COMMUNITY HEALTH
• Teresa Sandoval Gonzalez
• Bobi Goodson, MSW
• Jon Granbois
• Camille Denise Granitz, MS CCC SLP
• Grapevine Radiology Associates
• Lauren Sue Graybill, OTR/L, CLT
• Philip A Green, MD

• General Practice Dentistry in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• General Practice Dentistry in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.