Gonzalo Francisco Braunthal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26262 Issued in TX

Practice address

7097 N Expressway 77 Ste 10
Olmito, TX 78575-9808

Phone

(956) 621-1440

Fax

(956) 621-1441

NPI assigned

Mar 14, 2011

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• Olmito Family Dentistry

  • General Practice Dentistry
  • Olmito, TX
  • NPI 1154791846
  NPD (past) Authorized official

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1306144480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7097 N EXPRESSWAY 77 STE 10",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759808",
            "telephone_number": "956-621-1440",
            "fax_number": "956-621-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7097 N EXPRESSWAY 77 STE 10",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759808",
            "telephone_number": "956-621-1440",
            "fax_number": "956-621-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNTHAL",
        "first_name": "GONZALO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Wesley Bailey, FNP, DC
• Brownsville ASC LLC (RGV Surgery Center Brownsville)
• Nubia Espinosa
• Lee Pediatrics Inc
• Rocio Martinez, PT, DPT
• Sergio H Martinez

• General Practice Dentistry in Olmito, TX
• Providers in Olmito, 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 Oct 27, 2022; 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.