Elmer Eleazar Gonzalez, PH.D, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH3025 Issued in NM

Practice address

3400 S Espina St
Las Cruces, NM 88003-1290

Phone

(575) 528-7071

NPI assigned

Sep 1, 2009

Last updated

Aug 7, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dacc Dental Clinic

  • Dental Clinic/Center
  • Las Cruces, NM
  • NPI 1922831551
  NPD Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1063645455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S ESPINA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880031290",
            "telephone_number": "575-528-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S ESPINA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880031290",
            "telephone_number": "575-528-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 University Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871021740",
            "country_code": "US",
            "telephone_number": "505-272-5326",
            "fax_number": "505-272-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ELMER",
        "middle_name": "ELEAZAR",
        "credential": "PH.D, RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Gonzalez, LMHC
• Agnes Gonzalez, LBSW
• Amanda Gonzalez
• Bianca Joselyn Gonzalez
• Brenda Gonzalez
• Estrella Anise Gonzalez
• Hadya Gonzalez
• Jacob Gonzalez, MA
• Jazmin Gonzalez
• Jessica Gonzalez

• Dental Hygienist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.