NPIMap

Organization Active NPI

Jose Ricardo Gonzalez, D.D.S., a Dental Corporation

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1457551491
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47263 Issued in CA
Legal business name
JOSE RICARDO GONZALEZ, D.D.S., A DENTAL CORPORATION
Practice address
2735 N. Blackstone Ave
Fresno, CA 93703
Phone
(559) 225-3391
Fax
(559) 225-1601
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Jose Ricardo Gonzalez, DDS
Title
Ceo
Phone
(559) 970-5072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47263 CA Primary

Addresses

Primary practice location

2735 N. Blackstone Ave
Fresno, CA 93703

Mailing address

2735 N. Blackstone Ave
Fresno, CA 93703
Phone (559) 225-3391

Other names 1

  • Hispano Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hispano Dental Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2735 N Blackstone Ave
Fresno, CA 93703
Phone (559) 225-3391

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1457551491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N. BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93703",
            "telephone_number": "559-225-3391",
            "fax_number": "559-225-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N. BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93703",
            "telephone_number": "559-225-3391",
            "fax_number": "559-225-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE RICARDO GONZALEZ, D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-970-5072",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hispano Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hispano Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.