Andrew Shagor Gomes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32993 Issued in TX

Practice address

1500 Research Forest Dr Ste 220
Shenandoah, TX 77381-7300

Phone

(281) 859-4624

NPI assigned

Jul 8, 2017

Last updated

Jul 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shenandoah Smiles Dentistry, PC

  dba The Woodlands Modern Smiles Dentistry and Orthodontics

  • Dentist
  • Irvine, CA
  • NPI 1538550124
  NPD (past)

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499472000000",
    "number": "1275055535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21145 SPRING PLAZA DR APT 4108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773881447",
            "telephone_number": "214-405-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RESEARCH FOREST DR STE 220",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773817300",
            "telephone_number": "281-859-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES",
        "first_name": "ANDREW",
        "middle_name": "SHAGOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-08",
        "last_updated": "2017-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul S Gill, MD
• Shazia Gill, M.D.
• Caroline Magdy Mikhael Girgius, DDS, MS
• Clare Glassock
• Anuj Goel, MD
• Sarah Laurelle Gomez
• Anna M Gonzales, M.D.
• Edgardo Mauricio Gonzalez, CSA, LSA
• Manuel Gonzalez
• Gordley Plastic Surgery PA

• General Practice Dentistry in Shenandoah, TX
• Providers in Shenandoah, 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 Jul 8, 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.