Nathan Tyler Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28893 Issued in TX

Practice address

300 N. Sherman St.
Mexia, TX 76667-0350

Phone

(254) 562-5347

Fax

(254) 562-5041

NPI assigned

Jul 19, 2013

Last updated

Oct 20, 2021By 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 2

Addresses

Other identifiers 1

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.

• Gonzalez Family Dentistry, PLLC

  • Dentist
  • Mexia, TX
  • NPI 1275125791
  NPD
• Cholopisa General Dentistry

  • General Practice Dentistry
  • Mexia, TX
  • NPI 1568736825
  NPD (past)
• Merge Health Texas, LLC

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1740442185
  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1114369188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 350",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766670350",
            "telephone_number": "254-562-5347",
            "fax_number": "254-562-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N. SHERMAN ST.",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766670350",
            "telephone_number": "254-562-5347",
            "fax_number": "254-562-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NATHAN",
        "middle_name": "TYLER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "28893",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412981901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas W Fox Jr., DDS
• Juliet Elizabeth Garcia
• Judith Gauntt
• Christopher Lee George, FNP-C
• Gonzalez Family Dentistry, PLLC
• James Michael Grissett, APRN, FNP-C
• Donna Groves, OTR
• H-E-B, LP (HEB Pharmacy #467)
• Haven Nursing Home Corporation
• Lindsay Margaret Hayes, MED, LPC-A

• General Practice Dentistry in Mexia, TX
• Providers in Mexia, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.