Active NPI
Kurt Robert Gossweiler, MD DDS
- Dentist
- Indianapolis, IN
National Provider Identifier
1871658070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DENTISTRY12009698
- Practice address
- 7901 Crawfordsville Rd
Ste E
Indianapolis, IN 46214 - Phone
- (317) 293-0965
- Fax
- (317) 293-0974
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DENTISTRY12009698 | IN | Primary |
| Dentist | 122300000X | MEDICINE01039528 | IN |
Addresses
Primary practice location
7901 Crawfordsville Rd
Ste E
Indianapolis, IN 46214
Mailing address
7901 Crawfordsville Rd
Ste E
Indianapolis, IN 46214
Phone (317) 293-0965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DENTISTRY12009698 | IN | MD | Dentist |
| MEDICINE01039528 | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1871658070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 CRAWFORDSVILLE RD",
"address_2": "STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46214",
"telephone_number": "317-293-0965",
"fax_number": "317-293-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 CRAWFORDSVILLE RD",
"address_2": "STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46214",
"telephone_number": "317-293-0965",
"fax_number": "317-293-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSWEILER",
"first_name": "KURT",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "DENTISTRY12009698",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "MEDICINE01039528",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.