Active NPI
Iohann F Gonzalez, D.C.
- Chiropractor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8954
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Vida Center LLC | Chiropractor | Current | Accepting new patients |
| Medconmd1 PLLC | Current | Accepting new patients | |
| Medconmd1 PLLC | Current | Accepting new patients | |
| Southwest Natural Health Care, L.L.C. | Chiropractor | Past | Accepting new patients |
| Wellness Diagnostic First, Inc | Past | 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
- 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.
-
- Chiropractor
- Dallas, TX
- NPI 1154737385
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1649028267
-
- Chiropractor
- Arlington, TX
- NPI 1508083395
-
- Cardiovascular Disease Physician
- Plano, TX
- NPI 1831516947
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.