Demetrio M Gonzalez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26521 Issued in TX

Practice address

345 Ohio Ave
Corpus Christi, TX 78404-1724

Phone

(361) 658-9927

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Demetrio M Gonzalez DDS PLLC

  • Dentist
  • Corpus Christi, TX
  • NPI 1346647393
  Authorized official Same address or phone

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1407140379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30884",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784630884",
            "telephone_number": "361-658-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OHIO AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041724",
            "telephone_number": "361-658-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DEMETRIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Gonzalez, MD
• Bryana Jusitne Gonzalez
• Cesar D Gonzalez
• Chris Gonzalez
• Damaris Gonzalez
• Elizabeth Rodriguez Gonzalez, NP
• Eva Samantha Gonzalez
• Facundo Gaston Gonzalez, MD
• Fernando Gonzalez, DMD
• Gabriel Gonzalez Jr.

• General Practice Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.