Organization Active NPI

Ryan D. Goslin, DDS, PC

  • Dentist
  • Burlington, VT
National Provider Identifier
1346424645
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016-0002155 Issued in VT
Legal business name
RYAN D. GOSLIN, DDS, PC
Practice address
48 Clarke St
Burlington, VT 05401-3754
Phone
(802) 658-4777
Fax
(802) 658-4809
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Ryan D Goslin, DDSNPI 1487698130
Title
Dentist / Owner
Phone
(802) 658-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 016-0002155 VT Primary

Addresses

Primary practice location

48 Clarke St
Burlington, VT 05401-3754

Mailing address

48 Clarke St
Burlington, VT 05401-3754

Other identifiers 1

IdentifierTypeStateIssuer
1011744MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1346424645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CLARKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CLARKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013754",
            "telephone_number": "802-658-4777",
            "fax_number": "802-658-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN D. GOSLIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "GOSLIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "802-658-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016-0002155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011744",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.