Active NPI
Brian C Gosnell, DDS
- Dentist
- Frisco, TX
National Provider Identifier
1932523529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29123
- Practice address
- 15950 Eldorado Pkwy Ste 100
Frisco, TX 75035-5816 - Phone
- (972) 540-9977
- Fax
- (972) 369-0841
- NPI assigned
- Feb 18, 2014
- Last updated
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29123 | TX | Primary |
Addresses
Primary practice location
15950 Eldorado Pkwy Ste 100
Frisco, TX 75035-5816
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29123 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frisco Custer Star Dental Group, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Custer Star Dental Group
- General Practice Dentistry
- Frisco, TX
- NPI 1245532688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1932523529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145626",
"telephone_number": "714-845-8890",
"fax_number": "949-474-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15950 ELDORADO PKWY STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355816",
"telephone_number": "972-540-9977",
"fax_number": "972-369-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSNELL",
"first_name": "BRIAN",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.