Jeffrey B Goates, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8094 Issued in AZ

Practice address

20265 N 59TH Ave Ste B5
Glendale, AZ 85308-6819

Phone

(623) 362-9616

Fax

(623) 362-2614

NPI assigned

Oct 4, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arrowhead Lakes Dentistry P C

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1154537884
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1972812337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20265 N 59TH AVE STE B5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086819",
            "telephone_number": "623-362-9616",
            "fax_number": "623-362-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 N 59TH AVE STE B5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086819",
            "telephone_number": "623-362-9616",
            "fax_number": "623-362-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOATES",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Glover, RN
• Patricia Glover, LCSW
• Selvin Robin Gnanakkan, OD
• Petty Peichiung Go, MFT
• Kelly Ann Goad, D.O.
• Christina Fandino Gobert
• Jacqueline Godinez Lopez, RD
• Godwin Izuegbunam MD PC
• Tagbe-Toe Daniel Goe, RBT
• Jean Bove Goerss, MD MPH

• 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 22, 2016; 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.