Active NPI
Martin Gonzalez, DDS
- General Practice Dentistry
- Lewisville, TX
National Provider Identifier
1356660724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25410
- Practice address
- 2401 S Stemmons Fwy
#1258
Lewisville, TX 75067-8775 - Phone
- (214) 221-4867
- NPI assigned
- May 25, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25410 | TX | Primary |
Addresses
Primary practice location
2401 S Stemmons Fwy
#1258
Lewisville, TX 75067-8775
Mailing address
7301 State Highway 161
Suite 198
Irving, TX 75039-2816
Phone (972) 869-3789
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 |
|---|---|---|---|
| 25410 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peppermint Dental-Lewisville PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1356660724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 STATE HIGHWAY 161",
"address_2": "SUITE 198",
"city": "IRVING",
"state": "TX",
"postal_code": "750392816",
"telephone_number": "972-869-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S STEMMONS FWY",
"address_2": "#1258",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678775",
"telephone_number": "214-221-4867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARTIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
- Alexandra Jennifer Goldman, M.D.
- Jessica D Golias, COTA
- Antonio Victor Prudente Gonzalez, MD
- Christopher Gonzalez
- Kayla Marie Gonzalez, DPT
- Goodcare24 LLC
- Kerri Goodspeed, M.S. CCC-SLP
- Mitali Goyal, M.D.
- Grace Abbey Community Development Corporation (Guiding Grace)
- Grace Lee DDS Ms PLLC (Karis Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.