Individual provider Active NPI

Daniel Gonzalez, D.M.D

  • Pediatric Dentistry
  • Fall River, MA
National Provider Identifier
1326428863
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1857649 Issued in MA
Practice address
551 Rock St
Fall River, MA 02720-3435
Phone
(617) 548-6717
NPI assigned
May 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11863 CT
Pediatric Dentistry 1223P0221X DN1857649 MA Primary

Addresses

Primary practice location

551 Rock St
Fall River, MA 02720-3435

Mailing address

155 Brookline St
#1
Cambridge, MA 02139-4500
Phone (617) 548-6717

Other practice location 1

697 poquonock ave
Windsor, CT 06095
Phone (860) 680-6326

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
DN1857649MAMDPediatric Dentist
11863CTMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: dgonzalez40310@connecticutchildrens.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326428863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BROOKLINE ST",
            "address_2": "#1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394500",
            "telephone_number": "617-548-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203435",
            "telephone_number": "617-548-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "697 poquonock ave",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "06095",
            "country_code": "US",
            "telephone_number": "860-680-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "11863",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1857649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.