NPIMap

Organization Active NPI

Jose Ricardo Gonzalez, D.D.S. a Dental Corporation

  • General Practice Dentistry
  • Selma, CA
National Provider Identifier
1154868990
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOSE RICARDO GONZALEZ, D.D.S. A DENTAL CORPORATION
Practice address
2775 Highland Ave Ste 103
Selma, CA 93662-3463
Phone
(559) 225-3391
Fax
(559) 225-1601
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Dr. Jose Ricardo Gonzalez, DDS
Title
President
Phone
(559) 970-5072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA Primary

Addresses

Primary practice location

2775 Highland Ave Ste 103
Selma, CA 93662-3463

Mailing address

2775 Highland Ave Ste 103
Selma, CA 93662-3463

National Provider Directory

National Provider Directory
Tax ID family
Hispano Dental Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2775 Highland Ave
Ste 103
Selma, CA 93662
Phone (559) 896-1752

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1154868990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 HIGHLAND AVE STE 103",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 HIGHLAND AVE STE 103",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623463",
            "telephone_number": "559-225-3391",
            "fax_number": "559-225-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE RICARDO GONZALEZ, D.D.S. A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-970-5072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.