Emerico Gomez Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4240 Issued in AZ

Practice address

829 E University Dr
Mesa, AZ 85203-8042

Phone

(480) 655-8687

Fax

(480) 668-8687

NPI assigned

Apr 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Care for Kids of Arizona

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
  • NPI 1689715799

  General Practice

  NPD (past)
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1447215769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038042",
            "telephone_number": "480-655-8687",
            "fax_number": "480-668-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038042",
            "telephone_number": "480-655-8687",
            "fax_number": "480-668-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "EMERICO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Gomez Aristizabal, DO
• Janny Gomez Brunet
• Sobieda Gomez Martinez
• Daniel Gomez, FNP
• Devin Simone Gomez, MPH, BSDH, RDH
• Ernesto Morales Gomez, M.D.
• Guadalupe Joyce Gomez
• Lisa Marie Gomez
• Marlen Gomez, BCBA
• Michelle Evelyn Gomez, FNP

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.