Individual provider Active NPI

Matthew Timothy Goslee, DMD, MPH

  • Pediatric Dentistry
  • Bristol, CT
National Provider Identifier
1063539765
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
009536 Issued in CT
Practice address
255 North Main St. C/O Dr. Matt Goslee
Posner and Turkus DDS
Bristol, CT 06010
Phone
(860) 589-7170
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 009536 CT Primary

Addresses

Primary practice location

255 North Main St. C/O Dr. Matt Goslee
Posner and Turkus DDS
Bristol, CT 06010

Mailing address

3 Squirrel Hill LN
West Hartford, CT 06107-1035
Phone (860) 214-9745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009536CTMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1063539765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SQUIRREL HILL LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071035",
            "telephone_number": "860-214-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NORTH MAIN ST. C/O DR. MATT GOSLEE",
            "address_2": "POSNER AND TURKUS DDS",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-589-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSLEE",
        "first_name": "MATTHEW",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "009536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.