Matthew James Gotta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032799 Issued in IL

Practice address

1606 W Campbell St
Arlington Heights, IL 60005-1516

Phone

(847) 255-8439

NPI assigned

May 17, 2020

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

Locations

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.

• Key Dental PC

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1720740574
  NPD Authorized official
• Dental Experts, LLC

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1245487792
  NPD (past)

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1639791296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 GENTRY DR",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600477540",
            "telephone_number": "224-330-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 W CAMPBELL ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051516",
            "telephone_number": "847-255-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTA",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ellen Gordon, PSY.D.,CADC
• Shelby Paige Gordon
• Danila M Gorelov, APN-CRNA
• Kirsten Gornick
• Goshen Healthcare Inc
• Carrie Gottainer, PSY.D.
• Argirios Gouriotis, LCSW
• Sheila Goyal, M.D.
• Vijay L Goyal, M.D.
• Vinod K Goyal, M.D.

• General Practice Dentistry in Arlington Heights, IL
• Providers in Arlington Heights, 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 Mar 7, 2022; 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.