Brandon Nicholas Goza, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3637-12 Issued in MS

Practice address

234 Church Ave
De Kalb, MS 39328-9581

Phone

(601) 743-5921

Fax

(601) 743-5933

NPI assigned

Jun 15, 2012

Last updated

Dec 12, 2023By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Germany Dental Clinic

  • General Practice Dentistry
  • Brandon, MS
  • NPI 1588833057
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1760744684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "DE KALB",
            "state": "MS",
            "postal_code": "393280070",
            "telephone_number": "601-743-5921",
            "fax_number": "601-743-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHURCH AVE",
            "city": "DE KALB",
            "state": "MS",
            "postal_code": "393289581",
            "telephone_number": "601-743-5921",
            "fax_number": "601-743-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZA",
        "first_name": "BRANDON",
        "middle_name": "NICHOLAS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3637-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dunlap, MD
• Latorie Dunn-King, CMHT
• Emmanuel Ridge of Dekalb Inc (Adult Daycare Health Services)
• Haley Ezelle
• Father of Waters Emergency Physicians LLC
• Hannah Gray, FNP
• Greater Meridian Health Clinic, Inc. (Kemper Family Medical Center)
• Anna Marie Hailey-Sharp, MD
• Happy at Home Personal Care Services
• Robert D Hearn Sr.

• General Practice Dentistry in De Kalb, MS
• Providers in De Kalb, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.