Individual provider Active NPI

Kapish Goyal, D.D.S.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1821302803
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414746 Issued in VA
Practice address
2109 McComas Way Ste 101
Virginia Beach, VA 23456-3909
Phone
(757) 427-0695
Fax
(757) 430-9341
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414746 VA Primary

Addresses

Primary practice location

2109 McComas Way Ste 101
Virginia Beach, VA 23456-3909

Mailing address

2109 McComas Way Ste 101
Virginia Beach, VA 23456-3909
Phone (757) 427-0695

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Virginia Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120000592 VA Order and Referring Only - DentistPractitioner - Dentist 9931420908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414746VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kapish Goyal DDS PLLC CurrentSince Feb 21, 2021 Accepting new patients
Dr. Michael J Sims D.M.D. PC Dentist PastSince Feb 21, 2021 Accepting new patients

Locations

2109 McComas Way
Ste 101
Virginia Beach, VA 23456
Phone (757) 427-0695

Organizations & group practices 2

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1821302803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 MCCOMAS WAY STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563909",
            "telephone_number": "757-427-0695",
            "fax_number": "757-430-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 MCCOMAS WAY STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563909",
            "telephone_number": "757-427-0695",
            "fax_number": "757-430-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "KAPISH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Virginia",
            "affiliation": "N",
            "endpointDescription": "office address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2109 McComas Way Ste 101",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234563909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.