NPIMap

Organization Active NPI

Gossweiler Periodontics & Implantology

  • Periodontics
  • Indianapolis, IN
National Provider Identifier
1063614220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12008973 Issued in IN
Legal business name
GOSSWEILER PERIODONTICS & IMPLANTOLOGY
Doing business as
Integrative Dental
Practice address
7537 W 38TH St
Indianapolis, IN 46254-2937
Phone
(317) 329-9291
Fax
(317) 329-1031
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Kevin Gossweiler, D.D.S.NPI 1831316769
Title
President
Phone
(317) 329-9291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 12008973 IN Primary

Addresses

Primary practice location

7537 W 38TH St
Indianapolis, IN 46254-2937

Mailing address

7537 W 38TH St
Indianapolis, IN 46254-2937
Phone (317) 329-9291

Other names 1

  • Integrative Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7537 W 38th St
Indianapolis, IN 46254
Phone (317) 329-9291

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063614220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542937",
            "telephone_number": "317-329-9291",
            "fax_number": "317-329-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542937",
            "telephone_number": "317-329-9291",
            "fax_number": "317-329-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSSWEILER PERIODONTICS & IMPLANTOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSSWEILER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-329-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12008973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.