Active NPI
Ruth Christine Gonzalez, DDS
- Dentist
- Phoenix, AZ
National Provider Identifier
1275637969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D008858
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D008858 | AZ | MD | Dentist |
| 08433 | IA | MD | Dentist |
| PERMIT40085 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tatum Point Dentistry LLC | General Practice | Current | 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.
-
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- Cedar Rapids, IA
- NPI 1245511708
-
- Dentist
- Evansdale, IA
- NPI 1659652121
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1255946257
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1710343306
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.