Organization Active NPI

Thomas R Gonzales, D.D.S.

  • Customized Equipment (DME)
  • Whittier, CA
National Provider Identifier
1043530736
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2427 Issued in NV
Legal business name
THOMAS R GONZALES, D.D.S.
Practice address
11506 Broadway
Whittier, CA 90601-3105
Phone
(562) 695-8718
NPI assigned
Jun 4, 2010
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Thomas Richard Gonzales, D.D.S.NPI 1497972871
Title
Dentist
Phone
(702) 798-6684

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
Customized Equipment (DME) 332BC3200X 2427 NV Primary

Addresses

Primary practice location

11506 Broadway
Whittier, CA 90601-3105

Mailing address

11506 Broadway
Whittier, CA 90601-3105

National Provider Directory

National Provider Directory

Locations

11506 Broadway
Whittier, CA 90601
Phone (562) 695-8718

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1043530736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 BROADWAY",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 BROADWAY",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013105",
            "telephone_number": "562-695-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R GONZALES, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-798-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.