Tannishia Marie Goggans, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

30023330 Issued in OH

Practice address

8210 Macedonia Commons Blvd
Macedonia, OH 44056-1860

Phone

(330) 467-3500

NPI assigned

Jun 22, 2010

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1891016069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14209 REDDINGTON AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561860",
            "telephone_number": "330-467-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGANS",
        "first_name": "TANNISHIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023330",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelci L. Fudge, LISW-S
• Laurel Beth Gans, DDS
• Cheryl Ann Gerlak
• Daniel Maurice Gindi, DMD
• Amy Glander, LGPC
• Golden Healthcare Services
• Tracy E Goldman, D.O.
• Quintia Green
• Eunique Grove
• Antonella Guerrieri, R.N.

• Dentist in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.