Paul A. Gosar, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3450 Issued in AZ

Practice address

2222 E Cedar Ave
Flagstaff, AZ 86004-1988

Phone

(928) 774-8512

Fax

(928) 774-3534

NPI assigned

Dec 19, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1376789446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E CEDAR AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041988",
            "telephone_number": "928-774-8512",
            "fax_number": "928-774-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E CEDAR AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041988",
            "telephone_number": "928-774-8512",
            "fax_number": "928-774-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSAR",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gordon
• Tara Ann Gordon, P.A.
• Abby Gorenstein
• Shana Marie Gorman-Dunn, D.C.
• Catlea Gorman, DPM
• Jessie Strength Gould, ACNPC-AG
• Anemise Sherrod Gower
• Brandie Elizabeth Gowey, NMD
• Thomas J Grabarek, D.D.S.
• Andrea Lynn Graber, ED.D.

• Dentist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.