Garrett Bernard Golisano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009004 Issued in CT

Practice address

172 Mount Pleasant Rd
Newtown, CT 06470-1443

Phone

(203) 426-0045

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124123559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MOUNT PLEASANT RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701443",
            "telephone_number": "203-426-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MOUNT PLEASANT RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701443",
            "telephone_number": "203-426-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLISANO",
        "first_name": "GARRETT",
        "middle_name": "BERNARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Gergovich, LCSW
• Sarah Elizabeth Gerrish, MA, LPCA
• Emilie Koepke Gibbs, P.A.
• Gift of Gab,LLC
• Aaron Gilman, DDS
• Marisa Gonzalez, LMSW
• Delvyann Gordon, APRN
• Kathleen Gormley, OTR/L, CHT
• Natalia Gorodetskiy
• Kristen Grabarz, FNP

• General Practice Dentistry in Newtown, CT
• Providers in Newtown, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.