NPIMap

Organization Active NPI

Charles Meyer Gooss, DMD, P.C.

  • Dentist
  • Yakima, WA
National Provider Identifier
1801030309
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 60034731 Issued in WA
Legal business name
CHARLES MEYER GOOSS, DMD, P.C.
Practice address
102 N Fair Ave Ste 102
Yakima, WA 98901-4543
Phone
(509) 469-0875
NPI assigned
Apr 28, 2009
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Charles M. GoossNPI 1922051093
Title
Practice Owner
Phone
(509) 469-0875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE 60034731 WA Primary

Addresses

Primary practice location

102 N Fair Ave Ste 102
Yakima, WA 98901-4543

Mailing address

102 N Fair Ave Ste 102
Yakima, WA 98901-4543
Phone (509) 469-0875

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1801030309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N FAIR AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989014543",
            "telephone_number": "509-469-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N FAIR AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989014543",
            "telephone_number": "509-469-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES MEYER GOOSS, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "GOOSS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "509-469-0875"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60034731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.