Active NPI
Jeffrey Tyler Gossett, DDS
- General Practice Dentistry
- Neosho, MO
National Provider Identifier
1124915772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2025019818
- Practice address
- 2040 Laquesta Dr
Neosho, MO 64850 - Phone
- (417) 451-1566
- NPI assigned
- Jun 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2025019818 | MO | Primary |
Addresses
Primary practice location
2040 Laquesta Dr
Neosho, MO 64850
Mailing address
1813 E Whitney Way Ave
Joplin, MO 64801-9082
Phone (417) 317-3879
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2025019818 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1124915772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 E WHITNEY WAY AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648019082",
"telephone_number": "417-317-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 LAQUESTA DR",
"city": "NEOSHO",
"state": "MO",
"postal_code": "64850",
"telephone_number": "417-451-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSETT",
"first_name": "JEFFREY",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2025019818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.