Patrick David Goss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CO5150 Issued in CO

Practice address

1342 Fletcher Dr
Erie, CO 80516-9071

Phone

(720) 272-6558

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316043169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 FLETCHER DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805169071",
            "telephone_number": "720-272-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 FLETCHER DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805169071",
            "telephone_number": "720-272-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO5150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COTP23064A",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawny George, MA, LPCC
• Gloria Bachelder MD PC
• Joel Gomez, DDS
• Margaret Clare Gordon, NP
• Gayla Goss
• Gary L Grasmick, M.D.
• Greenway Health
• Alison Elaine Grover, D.D.S,
• Cathy Therese Gubersky, R.N.,LIC.AC.
• Jennifer M Haas

• General Practice Dentistry in Erie, CO
• Providers in Erie, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.