Active NPI
Maria Odalis Gonzalez, D.M.D.
- Dentist
- Miami, FL
National Provider Identifier
1467629956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15661
- Practice address
- 10651 N Kendall Dr Ste 215
Miami, FL 33176-1545 - Phone
- (305) 596-6069
- Fax
- (305) 596-0856
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15661 | FL | Primary |
| General Practice Dentistry | 1223G0001X | DN15661 | FL |
Addresses
Primary practice location
10651 N Kendall Dr Ste 215
Miami, FL 33176-1545
Mailing address
10651 N Kendall Dr Ste 215
Miami, FL 33176-1545
Phone (305) 596-6069
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 |
|---|---|---|---|
| DN15661 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1467629956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10651 N KENDALL DR STE 215",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761545",
"telephone_number": "305-596-6069",
"fax_number": "305-596-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 N KENDALL DR STE 215",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761545",
"telephone_number": "305-596-6069",
"fax_number": "305-596-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARIA",
"middle_name": "ODALIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15661",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN15661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.