npidexNPI registry + Medicare data

CHARLES GOOSS, D.M.D.

Dentist · YAKIMA, WA

Individual Active Opted out of Medicare NPI 1922051093

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X✓DE60034731WA
Dentist122300000X0401008092VA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Maxillofacial Surgery), effective 2015-09-23 through 2027-09-23.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.