Organization Active NPI

Juan J Gonzalez-Dickson, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Weslaco, TX
National Provider Identifier
1124075825
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JUAN J GONZALEZ-DICKSON, M.D., P.A.
Practice address
909 James St
Suite a
Weslaco, TX 78596-4209
Phone
(956) 968-0802
Fax
(956) 969-3242
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Juan J Gonzalez-Dickson, MD
Title
President
Phone
(956) 968-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

909 James St
Suite a
Weslaco, TX 78596-4209

Mailing address

909 James St
Suite a
Weslaco, TX 78596-4209
Phone (956) 968-0802

Other identifiers 2

IdentifierTypeStateIssuer
0015PLOtherTXBCBSTX
182556401MedicaidTX

National Provider Directory

National Provider Directory

Locations

909 James St
Ste A
Weslaco, TX 78596
Phone (956) 968-0802

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1124075825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 JAMES ST",
            "address_2": "SUITE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964209",
            "telephone_number": "956-968-0802",
            "fax_number": "956-969-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 JAMES ST",
            "address_2": "SUITE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964209",
            "telephone_number": "956-968-0802",
            "fax_number": "956-969-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN J GONZALEZ-DICKSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-DICKSON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-968-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0015PL",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182556401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.