Eric Eugene Gottman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2001013531 Issued in MO

Practice address

650 E 25T Street
Kansas City, MO 64108-2784

Phone

(816) 235-2100

Fax

(816) 235-5472

NPI assigned

Jun 28, 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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Priority Dental Clinic

  • General Practice Dentistry
  • Independence, MO
  • NPI 1396994216
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1891722252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E 25T STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082784",
            "telephone_number": "816-235-2100",
            "fax_number": "816-235-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 25T STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082784",
            "telephone_number": "816-235-2100",
            "fax_number": "816-235-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTMAN",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2001013531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404810509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Goss
• Tate Madyson Goss
• Kelley Regen Gossett
• Kristine A. Goswick, CRNA
• Molly Bea Gotobed, CPNP-PC
• Suma Potiny Goudar, MD
• Celeste Ellen Gould
• Dexton Gould, D.C.
• Sara Rebecca Gould, PHD
• Emily Rene Gourley, PT, DPT

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, 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 Dec 20, 2024; 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.