Organization Active NPI

Gary L. Gotsch DDS MSD

  • Prosthodontics
  • Fort Wayne, IN
National Provider Identifier
1578732020
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
GARY L. GOTSCH DDS MSD
Practice address
4205 Hobson CT
Fort Wayne, IN 46815-8648
Phone
(260) 486-8778
Fax
(260) 486-7679
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Gary L Gotsch, DDS, MSD
Title
Doctor
Phone
(260) 486-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

4205 Hobson CT
Fort Wayne, IN 46815-8648

Mailing address

4205 Hobson CT
Fort Wayne, IN 46815-8648
Phone (260) 486-8778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1578732020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 HOBSON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158648",
            "telephone_number": "260-486-8778",
            "fax_number": "260-486-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HOBSON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158648",
            "telephone_number": "260-486-8778",
            "fax_number": "260-486-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. GOTSCH DDS MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "GOTSCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "260-486-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.