Organization Active NPI

M Cecilia Gonzalez DDS a Prof Corp

Doing business as Iris Dental Care Office of Dr M Cecilia Gonzalez DDS

  • Dentist
  • Moreno Valley, CA
National Provider Identifier
1427839208
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
M CECILIA GONZALEZ DDS A PROF CORP
Doing business as
Iris Dental Care Office of Dr M Cecilia Gonzalez DDS
Practice address
15952 Perris Blvd Ste E
Moreno Valley, CA 92551-1320
Phone
(951) 243-0282
Fax
(951) 243-1457
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Dr. Maria C Gonzalez, DDSNPI 1750420014
Title
Owner President
Phone
(951) 970-7934

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

15952 Perris Blvd Ste E
Moreno Valley, CA 92551-1320

Mailing address

15952 Perris Blvd Ste E
Moreno Valley, CA 92551-1320
Phone (951) 243-0282

Other names 1

  • IRIS DENTAL CARE OFFICE OF DR M CECILIA GONZALEZ DDS Doing business as

National Provider Directory

National Provider Directory

Locations

15952 Perris Blvd
Ste E
Moreno Valley, CA 92551
Phone (951) 243-0282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1427839208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15952 PERRIS BLVD STE E",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511320",
            "telephone_number": "951-243-0282",
            "fax_number": "951-243-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15952 PERRIS BLVD STE E",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511320",
            "telephone_number": "951-243-0282",
            "fax_number": "951-243-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M CECILIA GONZALEZ DDS A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "951-970-7934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRIS DENTAL CARE OFFICE OF DR M CECILIA GONZALEZ DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.