Individual provider Active NPI

Brandon Casey Gooch, DMD

  • Dentist
  • Springdale, AR
National Provider Identifier
1003332867
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4800 Issued in AR
Practice address
1163 N 48TH St Ste C
Springdale, AR 72762-1054
Phone
(479) 255-5437
Fax
(479) 255-5439
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4800 AR Primary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 33285 TX
General Practice Dentistry 1223G0001X 62476 KS
Pediatric Dentistry 1223P0221X 2021028134 MO

Addresses

Primary practice location

1163 N 48TH St Ste C
Springdale, AR 72762-1054

Mailing address

1163 N 48TH St Ste C
Springdale, AR 72762-1054
Phone (479) 255-5437

Other practice location 1

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (888) 777-9170

Other names 1

  • B. Casey Gooch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20260209001237 KS Practitioner - Dentist 9931688124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1832
Pittsburg, KS 66762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62476KSMDGeneral Practice Dentistry
2021028134MOMDPediatric Dentist
33285TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas Inc CurrentSince Feb 1, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
White Rocks Dental, PLLC General Practice Current Accepting new patients
Springfield Kids Dental PLLC Dentist Past Accepting new patients
Midland Dentistry 4 Kids, PLLC General Practice Past Accepting new patients
Smile Straight Orthodontics - Midland, PLLC Single Specialty PastSince Aug 25, 2025 Accepting new patients

Locations

1163 N 48th St
Ste C
Springdale, AR 72762
Phone (479) 255-5437

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1003332867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 N 48TH ST STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621054",
            "telephone_number": "479-255-5437",
            "fax_number": "479-255-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 N 48TH ST STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621054",
            "telephone_number": "479-255-5437",
            "fax_number": "479-255-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3011 N Michigan St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667622546",
            "country_code": "US",
            "telephone_number": "888-777-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "BRANDON",
        "middle_name": "CASEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4800",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33285",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62476",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2021028134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B.",
            "last_name": "GOOCH",
            "middle_name": "CASEY",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.