Active NPI
Brandon Casey Gooch, DMD
- Dentist
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4800 | AR | Primary |
| Pediatric Dentistry | 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62476 | KS | MD | General Practice Dentistry |
| 2021028134 | MO | MD | Pediatric Dentist |
| 33285 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Single Specialty | Current | 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 | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Pittsburg, KS
- NPI 1669474425
Single Specialty
-
- General Practice Dentistry
- Springdale, AR
- NPI 1942168992
-
- Federally Qualified Health Center (FQHC)
- Baxter Springs, KS
- NPI 1487351086
-
- General Practice Dentistry
- Midland, TX
- NPI 1952617482
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Midland, TX
- NPI 1407158066
Single Specialty
-
- Dentist
- Springfield, MO
- NPI 1336805753
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.