Iveth Magaly Gonzalez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN30246 Issued in FL

Practice address

780 West Ave
Cocoa, FL 32927-4991

Phone

(321) 631-5600

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

Yes

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

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.

• Img Dental, PLLC

  • General Practice Dentistry
  • Cocoa, FL
  • NPI 1881567634
  NPD Authorized official
• Tru Dental Michigan PC

  dba Highland Avenue Family Dentistry

  • General Practice Dentistry
  • Battle Creek, MI
  • NPI 1326623075
  NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1073205118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 WEST AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274991",
            "telephone_number": "512-762-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WEST AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274991",
            "telephone_number": "321-631-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IVETH",
        "middle_name": "MAGALY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Ramon Girard, O.D.
• Teneka Glasco, LPN
• Melanie Goff, LCSW
• Andrea Mary Gollinger, BCBA, LBA
• Demetrios Gonis, MD
• Tyrese Gonzalez
• Rachel Gorman
• Stacie N/a Gould
• Julie Anne Graf
• Thomas Grasso, LMT

• Dentist in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.