Individual provider Active NPI

Joseph M Gossler, D.D.S.

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1154304152
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5254 Issued in WA
Practice address
104 39TH Ave SW
Suite E
Puyallup, WA 98373-3621
Phone
(253) 841-1386
Fax
(253) 841-5995
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5254 WA Primary

Addresses

Primary practice location

104 39TH Ave SW
Suite E
Puyallup, WA 98373-3621

Mailing address

104 39TH Ave SW
Suite E
Puyallup, WA 98373-3621
Phone (253) 841-1386

Other identifiers 3

IdentifierTypeStateIssuer
20108OtherWADEPT OF LABOR &INDUSTRIES
G00670OtherWAREGENCE
5549001MedicaidWA

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
5254WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154304152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 39TH AVE SW",
            "address_2": "SUITE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733621",
            "telephone_number": "253-841-1386",
            "fax_number": "253-841-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 39TH AVE SW",
            "address_2": "SUITE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733621",
            "telephone_number": "253-841-1386",
            "fax_number": "253-841-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSLER",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR &INDUSTRIES",
            "identifier": "20108",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "G00670",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.