Active NPI
Dani Odette Gonzalez
- Pediatric Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- T1947
- Practice address
- 1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078 - Phone
- (512) 708-1234
- NPI assigned
- May 15, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | T1947 | TX | Primary |
Addresses
Primary practice location
1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Mailing address
1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Phone (512) 708-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210714001522 | TX | Practitioner - General Surgery | 5799105409 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgeons Who Only Care for Kids, PA | Pediatric Surgery | Current | Accepting new patients |
| Surgeons Who Only Care for Kids, PA | Current | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098
1301 Barbara Jordan Blvd
Ste 400
Austin, TX 78723
Phone (512) 708-4567
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
1301 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 324-0975
Interoperability endpoints
- https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4
- dani.gonzalez.1@8363.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Cedar Park, TX
- NPI 1386192656
Pediatric Surgery
-
- Children's Hospital
- Austin, TX
- NPI 1447355771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1124387774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-708-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-708-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DANI",
"middle_name": "ODETTE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "T1947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.