Anna Lynn Goetz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1002565-15 Issued in WI

Practice address

244 Division St
Park Falls, WI 54552-1256

Phone

(715) 762-2188

NPI assigned

Jun 14, 2021

Last updated

Jun 22, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1952979346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 DIVISION ST",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521256",
            "telephone_number": "715-762-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 DIVISION ST",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521256",
            "telephone_number": "715-762-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "ANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002565-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flambeau Hospital Inc (Marshfield Medical Center - Park Falls)
• Flambeau Hospital, Inc.
• Kimberly Michelle Moreno Flores-Wilson
• Susan Fuerst, M.S., P.T.
• Sundayjoy Grajo Gican
• Sherry A Graham
• Glenn Wolfgang Haidinger, DMD
• Gina Georgeann Hansen, DMD
• Geoffrey S Harrison, MD
• Health Managment Consortium

• Dentist in Park Falls, WI
• Providers in Park Falls, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.