Organization Active NPI

Ruth Christine Gonzalez DDS PC

  • Dentist
  • Cedar Rapids, IA
National Provider Identifier
1245511708
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08433 Issued in IA
Legal business name
RUTH CHRISTINE GONZALEZ DDS PC
Practice address
1815 First Avenue S.E.
Suite 102
Cedar Rapids, IA 52402-5474
Phone
(319) 365-9105
Fax
(319) 365-9105
NPI assigned
Aug 29, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
RUTH CHRISTINE GONZALEZ DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Mrs. Ruth Christine GonzalezNPI 1275637969
Title
Owner/Dentist
Phone
(319) 365-9105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08433 IA Primary

Addresses

Primary practice location

1815 First Avenue S.E.
Suite 102
Cedar Rapids, IA 52402-5474

Mailing address

1815 First Avenue S.E.
Suite 102
Cedar Rapids, IA 52402-5474
Phone (319) 365-9105

National Provider Directory

National Provider Directory
Tax ID family
Ruth Christine Gonzalez DDS PC2 organizations share this tax ID, including this one
Part of
Ruth Christine Gonzalez DDS PC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1245511708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 FIRST AVENUE S.E.",
            "address_2": "SUITE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025474",
            "telephone_number": "319-365-9105",
            "fax_number": "319-866-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 FIRST AVENUE S.E.",
            "address_2": "SUITE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025474",
            "telephone_number": "319-365-9105",
            "fax_number": "319-365-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH CHRISTINE GONZALEZ DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTH CHRISTINE GONZALEZ DDS",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "319-365-9105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.