Individual provider Active NPI

Iohann F Gonzalez, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1104858562
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8954 Issued in TX
Practice address
12800 Preston Rd Ste 102
Dallas, TX 75230-1366
Phone
(469) 677-0029
Fax
(214) 792-9697
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8954 TX Primary

Addresses

Primary practice location

12800 Preston Rd Ste 102
Dallas, TX 75230-1366

Mailing address

12800 Preston Rd Ste 102
Dallas, TX 75230-1366
Phone (469) 677-0029

Other practice location 1

5964 W Parker Rd Ste 104
Plano, TX 75093-7788
Phone (469) 677-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000233 TX Practitioner - Chiropractic 9436190543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Vida Center LLCGroup PAC ID 0840514659, 2 clinicians

Practice addresses (Care Compare)

12800 Preston Rd
Suite 200
Dallas, TX 75230-1369
Phone (469) 677-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Vida Center LLC Chiropractor CurrentSince Jul 5, 2022 Accepting new patients
Medconmd1 PLLC CurrentSince Aug 23, 2025 Accepting new patients
Medconmd1 PLLC CurrentSince Aug 23, 2025 Accepting new patients
Southwest Natural Health Care, L.L.C. Chiropractor Past Accepting new patients
Wellness Diagnostic First, Inc PastSince Apr 20, 2021 Accepting new patients

Locations

12900 Preston Rd
Ste 305
Dallas, TX 75230
Phone (214) 792-9910

12800 Preston Rd
Ste 200
Dallas, TX 75230
Phone (214) 536-2423

12800 Preston Rd
Ste 102
Dallas, TX 75230
Phone (469) 677-0029

505 E US Highway 80
Forney, TX 75126
Phone (844) 391-7277

208 E Moore Ave
Terrell, TX 75160
Phone (214) 783-3231

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1104858562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301366",
            "telephone_number": "469-677-0029",
            "fax_number": "214-792-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301366",
            "telephone_number": "469-677-0029",
            "fax_number": "214-792-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5964 W Parker Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937788",
            "country_code": "US",
            "telephone_number": "469-677-0029",
            "fax_number": "214-792-9697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IOHANN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8954",
            "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 Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.