Charles Goodsite, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-022443 Issued in IL

Practice address

929 W Wise Rd
Schaumburg, IL 60193-3821

Phone

(847) 895-0485

Fax

(847) 895-3019

NPI assigned

Jul 18, 2008

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Charles Goodsite and Thomas Seretis LTD.

  • General Practice Dentistry
  • Schaumburg, IL
  • NPI 1164638557
  NPD (past)
• Harvest Plaza Dental PLLC

  • General Practice Dentistry
  • Schaumburg, IL
  • NPI 1033704077
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1457515439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933821",
            "telephone_number": "847-895-0485",
            "fax_number": "847-895-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933821",
            "telephone_number": "847-895-0485",
            "fax_number": "847-895-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSITE",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Gonzalez
• Megan Gonzalez
• Nydia Gonzalez
• Goodday Chiropractic&Rehab
• Samantha Marie Goodmanson
• Rohan Gopinath, MD
• Dean Michael Villon Gorospe
• Eesha C Goshalia
• Mark J Gould, D.C.
• Raymond Gouttama, MD

• General Practice Dentistry in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.