Individual provider Active NPI

Ruth Christine Gonzalez, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1275637969
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008858 Issued in AZ
Practice address
4747 E Bell Rd Ste
#15
Phoenix, AZ 85032
Phone
(319) 365-9105
Fax
(319) 866-9662
NPI assigned
Sep 12, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08433 IA
Dentist 122300000X PERMIT40085 IA
Dentist 122300000X D008858 AZ Primary

Addresses

Primary practice location

4747 E Bell Rd Ste
#15
Phoenix, AZ 85032

Mailing address

19601 N Black Canyon Hwy
#201
Phoenix, AZ 85027-4107
Phone (319) 365-9105

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

State licenses

LicenseStateTypeSpecialty
D008858AZMDDentist
08433IAMDDentist
PERMIT40085IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tatum Point Dentistry LLC General Practice CurrentSince Sep 15, 2024 Accepting new patients
Ruth Christine Gonzalez DDS PC Dentist Past Accepting new patients
Ruth Christine Gonzalez DDS PC Dentist Past Accepting new patients
Carefree Dentistry General Practice Past Accepting new patients

Locations

19601 N Black Canyon Hwy
#201
Phoenix, AZ 85027

4747 E Bell Rd
Ste 15
Phoenix, AZ 85032
Phone (319) 365-9105

Organizations & group practices 4

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1275637969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 N BLACK CANYON HWY",
            "address_2": "#201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107",
            "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": "4747 E BELL RD STE",
            "address_2": "#15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "319-365-9105",
            "fax_number": "319-866-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RUTH",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08433",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "PERMIT40085",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.