DR. RYAN GOERGEN (NPI# 1487059721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487059721 |
| Entity Type | Individual |
| Full Name | DR. RYAN GOERGEN |
| Credential | D.M.D. |
| Practice Address |
4055 Lindell Blvd Saint Louis MO 63108-3201 |
| Mailing Address |
3143 Everglade Ave Woodridge IL 60517-3316 |
| Practice Telephone | 3145357701 |
| Mailing Telephone | 6302910957 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2014038355 | MO | Dental Providers |
| Street Address |
4055 LINDELL BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578554820 | Tattamangalam Chandrika | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2005-11-03 |
| 1275177974 | Nathaniel Scott Hansen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-11-05 |
| 1225694672 | Byron Matthew Schroeder | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-05-10 |
| 1265925804 | Sheshaben A Shah | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2018-06-08 |
| 1073015517 | Justin Vance Sorensen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63018 | 2018-03-01 |
| 1588103840 | Kimberly Baptist | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2017-02-20 |
| 1841668688 | Betty Jean Kerr People's Health Centers | Clinic/Center | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2015-09-10 |
| 1992138564 | Christopher L Baker | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2013-08-18 |
| 1619265907 | Elizabeth Susan Lansford | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-07-20 |
| 1902104862 | Andrew Michael Reff | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| 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 |
|---|---|---|---|---|
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1013579010 | Jasmine Esmailzadegan | Dentist | 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 | 2019-07-01 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1952895252 | Feras Al Khatib | Dentist | 7809 Watson Rd, Saint Louis, MO 63119-5408 | 2018-06-20 |
| 1255825675 | Brenton Patrick Ruopp | Dentist | 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 | 2018-06-19 |
| 1598258501 | Daniel Thomas Doherty | Dentist | 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 | 2018-06-13 |
| 1649700964 | Adam J Bree | Dentist | 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 | 2017-06-19 |
| 1811448863 | We Care Mobile Dental LLC | Dentist | 6903 Waterman Ave, Saint Louis, MO 63130-4333 | 2016-10-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.