Gary L. Gotsch DDS, MSD, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

GARY L. GOTSCH DDS, MSD, LLC

Practice address

4205 Hobson CT
Fort Wayne, IN 46815-8648

Phone

(260) 486-8788

Fax

(260) 486-7679

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Gotsch

Title

Owner/Dentist

Phone

(260) 486-8778

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1336502145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 HOBSON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158648",
            "telephone_number": "260-486-8778",
            "fax_number": "260-486-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HOBSON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158648",
            "telephone_number": "260-486-8788",
            "fax_number": "260-486-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. GOTSCH DDS, MSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "GOTSCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "260-486-8778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "7341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykah Garrison
• Ashtyn Garver
• Melanie Nicole Garvin
• Eileen Garwood, P.H.D, MT-BC
• Gary L. Gotsch DDS MSD
• Gary R. Pulfer DDS, PC
• Erin S Garzon, MBA, ATC
• Rebecca Sue Gascoyne, FNP-BC
• Melissa Rochelle Gasmen, PHARMD
• Selena Gasnarez, RBT

• Prosthodontics in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Prosthodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.