Individual provider Active NPI

Miguel A Gonzalez-Ascar, DMD, MS

  • Periodontics
  • Bayamon, PR
National Provider Identifier
1245412808
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2786 Issued in PR
Practice address
Z30 Ave Laurel
Urb. Lomas Verdes
Bayamon, PR 00956-3244
Phone
(787) 787-2384
NPI assigned
Dec 5, 2007
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2786 PR Primary

Addresses

Primary practice location

Z30 Ave Laurel
Urb. Lomas Verdes
Bayamon, PR 00956-3244

Mailing address

Z30 Ave Laurel
Urb. Lomas Verdes
Bayamon, PR 00956-3244
Phone (787) 787-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2786PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
RM Dental Practice PSC Past Accepting new patients
Lomas Verdes Family Dental CSP Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1245412808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Z30 AVE LAUREL",
            "address_2": "URB. LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563244",
            "telephone_number": "787-787-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Z30 AVE LAUREL",
            "address_2": "URB. LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563244",
            "telephone_number": "787-787-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-ASCAR",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.