Andrew Goss, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

055626 Issued in NY

Practice address

5112 W Taft Rd Ste N
Liverpool, NY 13088-4873

Phone

(315) 652-3811

Fax

(315) 652-3624

NPI assigned

Jun 18, 2010

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1497076913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE N",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884873",
            "telephone_number": "315-652-3811",
            "fax_number": "315-652-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE N",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884873",
            "telephone_number": "315-652-3811",
            "fax_number": "315-652-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergey Golovko, MD
• Miranda V Gonzalez, MD
• Leah Goodcoff, LMHC
• Nicole Lynn Goodeve
• Deborah Joan Goodman
• Sara M Gosselin, M.D.
• Ryan Grabiec, FNP-C
• Jenna Megan Grace, LMSW
• Victoria Lynn Graml
• Mary V Green, M.D.

• Dentist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.