Active NPI
Cristal Gonzalez Nunez, DMD
- General Practice Dentistry
- Middletown, CT
National Provider Identifier
1205628245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14856
- Practice address
- 675 Main St
Middletown, CT 06457-2732 - Phone
- (860) 347-6971
- Fax
- (860) 343-7379
- NPI assigned
- May 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 14856 | CT | Primary |
Addresses
Primary practice location
675 Main St
Middletown, CT 06457-2732
Mailing address
19 Grand St
Middletown, CT 06457-2705
Phone (860) 347-6971
Other practice location 1
8268 164th St
Jamaica, NY 11432-1104
Phone (718) 883-4046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 Grand St
Middletown, CT 06457-2705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1205628245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GRAND ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572705",
"telephone_number": "860-347-6971",
"fax_number": "860-343-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572732",
"telephone_number": "860-347-6971",
"fax_number": "860-343-7379"
}
],
"practiceLocations": [
{
"address_1": "8268 164th St",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114321104",
"country_code": "US",
"telephone_number": "718-883-4046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ NUNEZ",
"first_name": "CRISTAL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-17",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "14856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.