Individual provider Active NPI

Mike E Gonce, M.D.

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1356300784
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17330 Issued in OK
Practice address
3333 NW 63Rd St
Suite 210
Oklahoma City, OK 73116-3710
Phone
(405) 748-3636
Fax
(405) 749-9421
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17330 OK Primary

Addresses

Primary practice location

3333 NW 63Rd St
Suite 210
Oklahoma City, OK 73116-3710

Mailing address

3333 NW 63Rd St
Suite 210
Oklahoma City, OK 73116-3710
Phone (405) 748-3636

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17330OKMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1356300784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NW 63RD ST",
            "address_2": "SUITE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163710",
            "telephone_number": "405-748-3636",
            "fax_number": "405-749-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NW 63RD ST",
            "address_2": "SUITE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163710",
            "telephone_number": "405-748-3636",
            "fax_number": "405-749-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCE",
        "first_name": "MIKE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "17330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.