Individual provider Active NPI

Rachit Goyal, DMD

  • Dentist
  • Columbia, MO
National Provider Identifier
1851773055
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2015019759 Issued in MO
Practice address
2901 W Broadway
Suite 109
Columbia, MO 65203-0499
Phone
(573) 445-5811
Fax
(573) 445-5819
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2015019759 MO Primary

Addresses

Primary practice location

2901 W Broadway
Suite 109
Columbia, MO 65203-0499

Mailing address

2901 W Broadway
Suite 109
Columbia, MO 65203-0499
Phone (573) 445-5811

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

LicenseStateTypeSpecialty
2015019759MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Cove Family Dental PLLC CurrentSince May 11, 2025 Accepting new patients
Sedation Dental Oasis LLC CurrentSince Nov 18, 2025 Accepting new patients
Missouri Dental Professionals, Richard Straus, DMD, PC Past Accepting new patients

Locations

15614 S Harlem Ave
Ste A
Orland Park, IL 60462
Phone (708) 614-1111

10012 Calumet Ave
#B
Munster, IN 46321
Phone (219) 319-5159

Organizations & group practices 3

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1851773055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W BROADWAY",
            "address_2": "SUITE 109",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030499",
            "telephone_number": "573-445-5811",
            "fax_number": "573-445-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W BROADWAY",
            "address_2": "SUITE 109",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030499",
            "telephone_number": "573-445-5811",
            "fax_number": "573-445-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "RACHIT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015019759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.