Corby Katharina Goetzinger

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1361 Issued in SD

Practice address

807 Saint Andrew St
Rapid City, SD 57701-4526

Phone

(605) 343-9352

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Corby Katharina White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nba, PLLC

  • Dental Clinic/Center
  • Rapid City, SD
  • NPI 1841027851
  NPD

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1861140014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PARKRIDGE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020509",
            "telephone_number": "605-786-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SAINT ANDREW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014526",
            "telephone_number": "605-343-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZINGER",
        "first_name": "CORBY",
        "middle_name": "KATHARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1361",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORBY",
            "last_name": "WHITE",
            "middle_name": "KATHARINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly J. Goble, M.D.
• David Godbe
• Jeffrey Paul Godber, D.D.S.
• Marissa Godfrey
• Randee Goetsch
• Emilee Goldy
• Briana Goley, RN
• Joseph Gomez, CRNA
• Leah Sperry Gonzalez, FNP
• Melissa Gonzalez, RBT

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.