Individual provider Active NPI

Benjamin Gosnell, D.M.D

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1285898437
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30023422 Issued in OH
Practice address
3197 Linwood Ave
Cincinnati, OH 45208-2962
Phone
(513) 871-2852
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30023422 OH Primary

Addresses

Primary practice location

3197 Linwood Ave
Cincinnati, OH 45208-2962

Mailing address

3197 Linwood Ave
Cincinnati, OH 45208-2962
Phone (513) 871-2852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160419000292 OH Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3678871035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30023422OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mr. Lookout Dentistry Benjamin T. Gosnell DMD LLC Current Accepting new patients

Locations

3197 Linwood Ave
Cincinnati, OH 45208
Phone (513) 321-2470

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1285898437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3197 LINWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082962",
            "telephone_number": "513-871-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3197 LINWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082962",
            "telephone_number": "513-871-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "BENJAMIN",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.