NPIMap

Organization Active NPI

Michael F Gonzalez DDS LTD

  • Dental Clinic/Center
  • Elmwood Park, IL
National Provider Identifier
1396374690
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL F GONZALEZ DDS LTD
Practice address
7544 W North Ave Ste 4
Elmwood Park, IL 60707-2790
Phone
(708) 452-1879
Fax
(708) 452-1893
NPI assigned
Apr 7, 2020
Organization subpart
Yes
Parent organization
MICHAEL F GONZALEZ DDS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Dr. Michael Gonzalez, DDSNPI 1902155534
Title
Owner Dentist
Phone
(847) 682-7283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7544 W North Ave Ste 4
Elmwood Park, IL 60707-2790

Mailing address

7544 W North Ave Ste 4
Elmwood Park, IL 60707-2790
Phone (708) 452-1879

Other names 1

  • North Avenue Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Michael F Gonzalez DDS LTD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1396374690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 W NORTH AVE STE 4",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072790",
            "telephone_number": "708-452-1879",
            "fax_number": "708-452-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 W NORTH AVE STE 4",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072790",
            "telephone_number": "708-452-1879",
            "fax_number": "708-452-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F GONZALEZ DDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL F GONZALEZ DDS LTD",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "847-682-7283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Avenue Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Avenue Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.