Pankaj Rai Goyal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7043 Issued in AZ

Practice address

7170 W Camino San Xavier Ste A101
Glendale, AZ 85308-0834

Phone

(623) 594-2057

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 22, 2015 through Sep 22, 2027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pankaj R Goyal DDS Az PC

  • Dentist
  • Glendale, AZ
  • NPI 1568034247
  NPD Authorized official
• Empire Dental Esthetics of Arizona

  • Oral and Maxillofacial Surgery Clinic/Center
  • Glendale, AZ
  • NPI 1518612068

  Dentist

  NPD (past)
• Midwestern University

  dba Midwestern University Dental Institute

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1164744009
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932173655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 W CAMINO SAN XAVIER STE A101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080834",
            "telephone_number": "623-594-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 W CAMINO SAN XAVIER STE A101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080834",
            "telephone_number": "623-594-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8415 North Pima Road",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85258",
            "country_code": "US",
            "telephone_number": "480-948-4445",
            "fax_number": "480-948-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "PANKAJ",
        "middle_name": "RAI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20022",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073407",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hana Rei Arita Goto
• Sonya Govan
• Shreena Govani, PHARM D
• Bryan Gower, MC, LPC
• Sarah Goy
• Grace Meadows Assisted Living LLC (Ashlee Care)
• Ruben Francisco Grace III, LMSW
• Elizabeth Grady, LPC
• Larquietta Grady
• Kendra Graham

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.