Oscar Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15086 Issued in FL

Practice address

12565 Orange Dr
Suite 414
Davie, FL 33330-4303

Phone

(954) 382-9696

Fax

(954) 382-9697

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Oscar Gonzalez DDS PA

  dba Flamingo Commons Dental

  • Dentist
  • Davie, FL
  • NPI 1609083542
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417018508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12565 ORANGE DRIVE",
            "address_2": "SUITE 414",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-382-9696",
            "fax_number": "954-382-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 ORANGE DR",
            "address_2": "SUITE 414",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304303",
            "telephone_number": "954-382-9696",
            "fax_number": "954-382-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madilyn Gonzalez
• Maria Gonzalez
• Melanie C Gonzalez
• Michelle Gonzalez
• Mirella Gonzalez
• Reinol Antonio Gonzalez, DMD
• Sabrina Gonzalez, PHARMD
• Samantha Gonzalez
• Sofia Ariel Gonzalez
• Stephanie Guerra Gonzalez

• General Practice Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.