Ismael Gonzalez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14504 Issued in TX

Practice address

6101 Windhaven Pkwy Ste 145
Plano, TX 75093-8198

Phone

(972) 473-8980

NPI assigned

Sep 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affordable Chiropractic, LLC

  • Chiropractor
  • Garland, TX
  • NPI 1750996336
  Medicare reassignment NPD
• Spine Time PA

  • Chiropractor
  • Garland, TX
  • NPI 1003005646
  Medicare reassignment NPD
• Garland Integrated Healthcare PLLC

  • Adult Medicine Physician
  • Garland, TX
  • NPI 1083082481
  NPD
• PMST Management Group

  • Physical Therapist
  • Plano, TX
  • NPI 1083069801
  NPD (past)

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1033725544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733352",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733352",
            "telephone_number": "972-473-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WINDHAVEN PKWY STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938198",
            "telephone_number": "972-473-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ISMAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-20",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerimi Gonzales
• Robert Jacob Gonzales, DC
• Steven Gonzales, DDS
• Agustin L Gonzalez, OD
• Gabrielle Gonzalez, PA-C
• Kiara Gonzalez
• Sergio Gonzalez, DC
• Stephanie Gonzalez
• Christine K Gooch, OPA-C
• Good Anesthesia Services, LLC

• All providers in Plano, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.