NPIMap

Organization Active NPI

Clark & Gossett Implant and Oral Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • New Braunfels, TX
National Provider Identifier
1669640876
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
17023 Issued in TX
Legal business name
CLARK & GOSSETT IMPLANT AND ORAL SURGERY, PA
Practice address
3013 Independence Drive
New Braunfels, TX 78132
Phone
(830) 625-6914
Fax
(830) 629-5530
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
James Douglas Gossett, DDS
Title
Owner
Phone
(830) 625-6914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 17023 TX Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 18816 TX

Addresses

Primary practice location

3013 Independence Drive
New Braunfels, TX 78132

Mailing address

3013 Independence Drive
New Braunfels, TX 78132
Phone (830) 625-6914

National Provider Directory

National Provider Directory

Locations

3013 Independence Dr
New Braunfels, TX 78132
Phone (830) 625-6914

705 Landa St
Ste E
New Braunfels, TX 78130
Phone (210) 360-1590

5000 Baptist Health Dr
Ste 114
Schertz, TX 78154
Phone (210) 566-1114

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1669640876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 INDEPENDENCE DRIVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "830-625-6914",
            "fax_number": "830-629-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 INDEPENDENCE DRIVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "830-625-6914",
            "fax_number": "830-629-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK & GOSSETT IMPLANT AND ORAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-625-6914",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "17023",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.