DR. KEELY CHRISTINA GOTER (NPI# 1053868026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053868026 |
| Entity Type | Individual |
| Full Name | DR. KEELY CHRISTINA GOTER |
| Credential | D.D.S. |
| Practice Address |
204 2nd Ave Ne Hazen ND 58545-4420 |
| Mailing Address |
808 3rd Ave Ne Mandan ND 58554-3220 |
| Practice Telephone | 7017482730 |
| Mailing Telephone | 7016630389 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2298 | ND | Dental Providers |
| Street Address |
204 2ND AVE NE |
| City | HAZEN |
| State | ND |
| Zip Code | 58545-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972723609 | Mark E. Jahraus, Dds, PC | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-0642 | 2007-04-26 |
| 1952692451 | Priscila J Jelsing Dds PC | Dentist | 204 2nd Ave Ne, Box 642, Hazen, ND 58545-4420 | 2011-05-02 |
| 1205127081 | Priscila Joy Jelsing | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-4420 | 2011-04-27 |
| 1669631859 | Nicholas Ryan Bakkum | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-4420 | 2008-06-03 |
| 1528288255 | Mark Edward Jahraus | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-0642 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962746776 | Pfliger Chiropractic Clinic PC | Chiropractor | 706 8th Ave. Ne, Hazen, ND 58545 | 2012-11-16 |
| 1932378007 | Michael Ralph Chase | Pharmacist | 30 Main Rd W, Hazen, ND 58545 | 2008-02-22 |
| 1740402189 | Noell Debra Just | Pharmacist | 30 West Main, Hazen, ND 58545 | 2007-05-03 |
| 1710024807 | Hazen Drug Inc. | Pharmacist | 30 Main Street, Hazen, ND 58545 | 2007-01-30 |
| 1336291822 | Alicia Wolstenholm | Speech-Language Pathologist | 238 1st Ave Ne, Hazen, ND 58545 | 2007-01-17 |
| 1174697759 | Oliver Mercer Special Education Unit | Local Education Agency (LEA) | 507 1st Ave Ne, Hazen, ND 58545 | 2006-11-17 |
| 1568628303 | Darlene Sandra White | Counselor | 510 8th Ave Ne, Hazen, ND 58545 | 2008-07-31 |
| 1538320932 | Sharold Edwin Oster | Counselor | 510 8th Ave Ne, 5 Sakakawea Medical Center, Hazen, ND 58545 | 2008-06-19 |
| 1225176613 | Jesse J Krieger | Speech-Language Pathologist | 507 1st Ave Ne, Hazen, ND 58545 | 2007-02-01 |
| 1699812602 | Amber Kaylor | Speech-Language Pathologist | 500 Central Ave, Hazen, ND 58545 | 2007-01-31 |
| Find all providers in zip 58545 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972723609 | Mark E. Jahraus, Dds, PC | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-0642 | 2007-04-26 |
| 1669631859 | Nicholas Ryan Bakkum | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-4420 | 2008-06-03 |
| 1528288255 | Mark Edward Jahraus | Dentist | 204 2nd Ave Ne, Hazen, ND 58545-0642 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144851 | Robert A. Bond, D.d.s. | Dentist | 2851 University Dr S, Fargo, ND 58103-6029 | 2020-05-04 |
| 1972167799 | Dr Alan Napoles Dds Pllc | Dentist | 3451 S Broadway Ste B, Minot, ND 58701-7419 | 2019-04-26 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1225505761 | Blake Ristvedt Dental Pllc | Dentist | 520 Main Ave Ste 705, Fargo, ND 58103-1967 | 2018-11-01 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1003307182 | Arjan Majidian | Dentist | 1231 27th St S Ste B, Fargo, ND 58103-8722 | 2018-05-23 |
| 1679070163 | Nicole A Searcey | Dentist | 0005 Medical Group @ 5mdg/sgq, 194 Missile Avenue, Minot Afb, ND 58705-5024 | 2018-04-10 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1962930073 | Austin Michael Vetter | Dentist | 1331 32nd Ave S Ste 3, Fargo, ND 58103-5989 | 2017-06-02 |
| 1326576828 | Jeffrey James Harrie | Dentist | 3525 25th St S, Fargo, ND 58104-5900 | 2017-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.