Thomas Michael Gotsis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE015476 Issued in MO

Practice address

12266 Depaul Dr
Ste 325
Bridgeton, MO 63044

Phone

(314) 291-9000

Fax

(314) 291-0590

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Midwest Dental Sleep Medicine Institute,LLC

  • Dentist
  • Bridgeton, MO
  • NPI 1528477114
  Medicare reassignment NPD Authorized official
• Thomas Gotsis DDS PC

  • Customized Equipment (DME)
  • Bridgeton, MO
  • NPI 1689978785
  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1871696203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12266 DEPAUL DR",
            "address_2": "STE 325",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "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 DEPAUL DR",
            "address_2": "STE 325",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-291-9000",
            "fax_number": "314-291-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSIS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6473770001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Goodman, NP
• Stacie Gorden
• Thomas Gordon, PHARM D
• Mary Jo Gorman, M.D.
• Bryan John Goss, ACNP
• Kaitlyn Taylor Kristina Gotthardt
• Taryn Lorraine Gough
• Courtney R Grady
• Catherine M Graham, MD
• Robert Graninger, PT, DPT, ATC

• General Practice Dentistry in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.