Active NPI
Mayra Lucia Gonzalez, RDH
- Dental Hygienist
- Elko, NV
National Provider Identifier
1356071906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 102801
- Practice address
- 762 14TH St
Elko, NV 89801-3413 - Phone
- (775) 738-1553
- NPI assigned
- Jun 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 102801 | NV | Primary |
Addresses
Primary practice location
762 14TH St
Elko, NV 89801-3413
Mailing address
762 14TH St
Elko, NV 89801-3413
Phone (775) 738-1553
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 |
|---|---|---|---|
| 102801 | NV | MD | Dental Hygienist |
Interoperability endpoints
- mayra.gonzalez.p1@direct.nevadahealthcenters.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1356071906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 14TH ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013413",
"telephone_number": "775-738-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 14TH ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013413",
"telephone_number": "775-738-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MAYRA",
"middle_name": "LUCIA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NV",
"license": "102801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.