Individual provider Active NPI

Cesar De Gregorio Gonzalez, DDS, MSD

  • Endodontics
  • Seattle, WA
National Provider Identifier
1366870297
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DF60414591 Issued in WA
Practice address
1959 NE Pacific St
D-669 Health Science Center Box 357448
Seattle, WA 98195-7448
Phone
(206) 616-1758
NPI assigned
Nov 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DF60414591 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
D-669 Health Science Center Box 357448
Seattle, WA 98195-7448

Mailing address

1959 NE Pacific St
D-669 Health Science Center Box 357448
Seattle, WA 98195-7448
Phone (206) 616-1758

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
DF60414591WAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1366870297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "D-669 HEALTH SCIENCE CENTER BOX 357448",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957448",
            "telephone_number": "206-616-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "D-669 HEALTH SCIENCE CENTER BOX 357448",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957448",
            "telephone_number": "206-616-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GREGORIO GONZALEZ",
        "first_name": "CESAR",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DF60414591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.