Active NPI
David King Gotwald III, D.D.S.
- Dentist
- Washington, IN
National Provider Identifier
1467546887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7118
- Practice address
- 2 E Walnut St
Washington, IN 47501-2753 - Phone
- (812) 254-3585
- Fax
- (812) 254-3594
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7118 | IN | Primary |
Addresses
Primary practice location
2 E Walnut St
Washington, IN 47501-2753
Mailing address
2 E Walnut St
Washington, IN 47501-2753
Phone (812) 254-3585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7118 | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467546887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E WALNUT ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012753",
"telephone_number": "812-254-3585",
"fax_number": "812-254-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E WALNUT ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012753",
"telephone_number": "812-254-3585",
"fax_number": "812-254-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTWALD",
"first_name": "DAVID",
"middle_name": "KING",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "7118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.