Kenny Alejandro Robles Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031362 Issued in IL

Practice address

3253 S Harlem Ave
Suite 1C
Berwyn, IL 60402

Phone

(708) 788-4444

NPI assigned

Aug 23, 2017

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

Medicare fee-for-service enrollment

Enrolled in IL

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

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.

• Kenny a Robles Gonzalez DDS PC

  dba Robles Family Dental

  • Dentist
  • Berwyn, IL
  • NPI 1356225973
  NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1205353109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 S HARLEM AVE",
            "address_2": "SUITE 1C",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "323-637-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 S HARLEM AVE",
            "address_2": "SUITE 1C",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-788-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES GONZALEZ",
        "first_name": "KENNY",
        "middle_name": "ALEJANDRO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031362",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Rios, NCC
• Myrna Luz Rivas
• Riverside Orthopedics, LTD
• Valarie Roache, O.D.
• Robert a Oak DDS LTD
• Dominic Andre Jean Robolino, MD
• Alexandra Rodriguez
• Bianca Rodriguez
• Bianca Dilery Rodriguez
• Bryant Rodriguez

• General Practice Dentistry in Berwyn, IL
• Providers in Berwyn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.