Iven Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25489 Issued in TX

Practice address

11240 Montwood Dr Ste J
El Paso, TX 79936-4248

Phone

(915) 201-2539

Fax

(915) 613-5082

NPI assigned

Jul 22, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iven.gonzalez@direct.myhealthep.org

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.

• Sun City Dental, PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1770901001
  NPD Authorized official

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1174836803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 MONTWOOD DR STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364248",
            "telephone_number": "915-201-2539",
            "fax_number": "915-613-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 MONTWOOD DR STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364248",
            "telephone_number": "915-201-2539",
            "fax_number": "915-613-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "25489",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213843004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugenia Gonzalez, OTR
• Francisco Javier Gonzalez, M.D.
• Guadalupe Gonzalez
• Haley Gonzalez
• Irma Gonzalez, LPC
• Jacqueline Gonzalez
• Jacqueline Marie Gonzalez
• Jaime Gonzalez, M.D.
• Jannette Gonzalez
• Jennifer S Gonzalez, ATC, LAT

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, 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 May 26, 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.

Verify at the official NPI Registry.