Individual provider Active NPI

Cesar Oscar Gonzalez, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1306452354
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36465 Issued in TX
Practice address
20122 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-7041
Phone
(210) 495-2000
NPI assigned
Sep 16, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36465 TX Primary

Addresses

Primary practice location

20122 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-7041

Mailing address

2211 NW Military Hwy Ste 127B
San Antonio, TX 78213-1850
Phone (210) 495-2000

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
36465TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oak 7To7 PLLC CurrentSince Aug 15, 2021 Accepting new patients
Ortho 7To7 PLLC PastSince Sep 20, 2020 Accepting new patients

Locations

20122 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258

Organizations & group practices 2

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1306452354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NW MILITARY HWY STE 127B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131850",
            "telephone_number": "210-495-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20122 STONE OAK PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587041",
            "telephone_number": "210-495-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CESAR",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.