Individual provider Active NPI

Gary Paul Goldsmith, MD

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1699860742
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E6377 Issued in TX
Practice address
8230 Walnut Hill LN
Suite 714
Dallas, TX 75231-4482
Phone
(214) 696-4696
Fax
(214) 696-4699
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E6377 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN
Suite 714
Dallas, TX 75231-4482

Mailing address

8230 Walnut Hill LN
Suite 714
Dallas, TX 75231-4482
Phone (214) 696-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000531 TX Practitioner - Otolaryngology 7214996883 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: gary.goldsmith.1@8082.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1699860742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 714",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-696-4696",
            "fax_number": "214-696-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 714",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-696-4696",
            "fax_number": "214-696-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E6377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.