Individual provider Active NPI

Daniel N Gonzalez, D.C.

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1003807074
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10195 Issued in TX
Practice address
3736 Bee Caves Rd
9
West Lake Hills, TX 78746-5393
Phone
(512) 347-8881
Fax
(512) 347-8882
NPI assigned
Oct 31, 2005
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10195 TX Primary

Addresses

Primary practice location

3736 Bee Caves Rd
9
West Lake Hills, TX 78746-5393

Mailing address

2004 Melissa Oaks LN
Austin, TX 78744-7958
Phone (817) 504-2157

Other identifiers 1

IdentifierTypeStateIssuer
04PVOtherTXBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000959 TX Practitioner - Chiropractic 1850314055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3736 Bee Caves Rd
Suite 9
West Lake Hills, TX 78746-5378
Phone (512) 347-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel N Gonzalez DC PC CurrentSince Oct 31, 2005 Accepting new patients
Dna Medical Chiropractor PastSince Apr 1, 2008 Accepting new patients

Locations

14673 Midway Rd
Ste 119
Addison, TX 75001
Phone (972) 458-2600

3736 Bee Caves Rd
Ste 9
West Lake Hills, TX 78746
Phone (512) 347-8881

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1003807074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MELISSA OAKS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787447958",
            "telephone_number": "817-504-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 BEE CAVES RD",
            "address_2": "9",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465393",
            "telephone_number": "512-347-8881",
            "fax_number": "512-347-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "04PV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.