Active NPI
Caleb Gonzalez, RDH
- Dental Hygienist
- San Antonio, TX
National Provider Identifier
1467194092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 24470
- Practice address
- 3145 Garden Ave Ste 1278
San Antonio, TX 78234-7719 - Phone
- (210) 808-3735
- NPI assigned
- Apr 13, 2022
- Last updated
- Apr 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 24470 | TX | Primary |
Addresses
Primary practice location
3145 Garden Ave Ste 1278
San Antonio, TX 78234-7719
Mailing address
1751 Babcock Rd Apt 814
San Antonio, TX 78229-4687
Phone (956) 536-0578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24470 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1467194092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 BABCOCK RD APT 814",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294687",
"telephone_number": "956-536-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 GARDEN AVE STE 1278",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782347719",
"telephone_number": "210-808-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CALEB",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "24470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.