Active NPI
Osmell Gonzalez Gonzalez, DMD
- Dentist
- Bayamon, PR
National Provider Identifier
1487228805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02916600
- Practice address
- Carr. #5 Avenida Central
Bayamon, PR 00960 - Phone
- (939) 225-2400
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02916600 | NJ | Primary |
Addresses
Primary practice location
Carr. #5 Avenida Central
Bayamon, PR 00960
Mailing address
5304 Station PL
Cherry Hill, NJ 08003-2351
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 |
|---|---|---|---|
| 22DI02916600 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1487228805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 STATION PL",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. #5 AVENIDA CENTRAL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "939-225-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ GONZALEZ",
"first_name": "OSMELL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02916600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Kvrismar Gonzalez Castillo, MD
- Emanuel Gonzalez Flores, MD
- Adriana Paola Gonzalez Frontera, STUDENT
- Charis N. Gonzalez Fuentes, RDN
- Manuel Miguel Gonzalez Garcia, M.D.
- Ramon Luis Gonzalez Hernandez, PA
- Christina Michelle Gonzalez Jimenez, DPT
- Amanda Cristina Gonzalez Lind
- Andres Francisco Gonzalez Lopez, MD
- Ludgardo Fermin Gonzalez Marin Sr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.