Organization Active NPI

Gonzalez Dental Corporation

  • General Practice Dentistry
  • Montrose, CA
National Provider Identifier
1003034497
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45864 Issued in CA
Legal business name
GONZALEZ DENTAL CORPORATION
Practice address
3901 Ocean View Blvd
Montrose, CA 91020
Phone
(818) 249-3213
Fax
(818) 249-5212
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dr. Gabriel Alexander Gonzalez, DMDNPI 1689075764
Title
Dentist President of Corporation
Phone
(818) 249-3213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45864 CA Primary

Addresses

Primary practice location

3901 Ocean View Blvd
Montrose, CA 91020

Mailing address

3901 Ocean View Blvd
Montrose, CA 91020
Phone (818) 249-3213

National Provider Directory

National Provider Directory

Locations

3901 Ocean View Blvd
Montrose, CA 91020
Phone (818) 249-3213

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1003034497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 OCEAN VIEW BLVD",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91020",
            "telephone_number": "818-249-3213",
            "fax_number": "818-249-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OCEAN VIEW BLVD",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91020",
            "telephone_number": "818-249-3213",
            "fax_number": "818-249-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "818-249-3213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.