Organization Active NPI

Maria C. Gonzalez D.D.S., Inc

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1053556746
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47081 Issued in CA
Legal business name
MARIA C. GONZALEZ D.D.S., INC
Practice address
16184 Foothill Blvd Ste K
Fontana, CA 92335-7400
Phone
(909) 770-8916
Fax
(909) 770-8919
NPI assigned
Dec 9, 2008
Organization subpart
Yes
Parent organization
MARIA C. GONZALEZ D.D.S., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mrs. Maria C Gonzalez, DDS
Title
Owner/Dentist
Phone
(909) 770-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47081 CA Primary

Addresses

Primary practice location

16184 Foothill Blvd Ste K
Fontana, CA 92335-7400

Mailing address

16184 Foothill Blvd Ste K
Fontana, CA 92335-7400
Phone (909) 770-8916

National Provider Directory

National Provider Directory
Tax ID family
Maria C Gonzalez DDS Inc2 organizations share this tax ID, including this one
Part of
Maria C Gonzalez DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16184 Foothill Blvd
Ste K
Fontana, CA 92335
Phone (909) 770-8916

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1053556746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16184 FOOTHILL BLVD STE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357400",
            "telephone_number": "909-770-8916",
            "fax_number": "909-770-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16184 FOOTHILL BLVD STE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357400",
            "telephone_number": "909-770-8916",
            "fax_number": "909-770-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C. GONZALEZ D.D.S., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIA C. GONZALEZ D.D.S., INC",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-770-8916",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.