Thomas Gotsis DDS PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DE0154076 Issued in MO

Legal business name

THOMAS GOTSIS DDS PC

Practice address

12266 De Paul Dr
#325
Bridgeton, MO 63044-2514

Phone

(314) 291-9000

Fax

(314) 291-0590

NPI assigned

Jan 4, 2011

Last updated

Feb 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas M Gotsis, DDSNPI 1871696203

Title

President/Owner

Phone

(314) 291-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Michael Gotsis, DDS

  • General Practice Dentistry
  • Bridgeton, MO
  • NPI 1871696203
  NPD (past) Authorized official
• Kevin Dolan Burgdorf, D.D.S.

  • Student in an Organized Health Care Education/Training Program
  • Cincinnati, OH
  • NPI 1457514788
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1689978785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR",
            "address_2": "#325",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442514",
            "telephone_number": "314-291-9000",
            "fax_number": "314-291-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR",
            "address_2": "#325",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442514",
            "telephone_number": "314-291-9000",
            "fax_number": "314-291-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS GOTSIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "GOTSIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "314-291-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "DE0154076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Doretha Buie Center, LLC
• David A Theodoro, M.D.
• Kristi Lynn Theriot, LPC
• Jamika Thomas
• Jazell Dailey Thomas, LPC,NCC
• Jocelyn Thomas
• Ladawna Elynne Thomas
• Leambrial Rayette Thomas

• Customized Equipment (DME) in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.