Active NPI
Jose Luis Gonzales Jr., D.C.
- Rehabilitation Chiropractor
- Dallas, TX
National Provider Identifier
1063648152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 11149
- Practice address
- 6025 Royal LN
Suite 120
Dallas, TX 75230-3892 - Phone
- (214) 529-1904
- Fax
- (214) 265-8444
- NPI assigned
- Jun 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 11149 | TX | Primary |
Addresses
Primary practice location
6025 Royal LN
Suite 120
Dallas, TX 75230-3892
Mailing address
6025 Royal LN
Suite 120
Dallas, TX 75230-3892
Phone (214) 529-1904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11149 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1063648152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 ROYAL LN",
"address_2": "SUITE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752303892",
"telephone_number": "214-529-1904",
"fax_number": "214-265-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 ROYAL LN",
"address_2": "SUITE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752303892",
"telephone_number": "214-529-1904",
"fax_number": "214-265-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "11149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.