Active NPI
Luis A Gonzalez, DMD
- Dentist
- Kyle, TX
National Provider Identifier
1497732457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22431
- Practice address
- 165 Elmhurst Ste a
Kyle, TX 78640-6397 - Phone
- (512) 722-6131
- Fax
- (512) 262-7717
- NPI assigned
- Dec 29, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22431 | TX | Primary |
Addresses
Primary practice location
165 Elmhurst Ste a
Kyle, TX 78640-6397
Mailing address
165 Elmhurst Ste a
Kyle, TX 78640-6397
Phone (512) 722-6131
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 |
|---|---|---|---|
| 22431 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1497732457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ELMHURST STE A",
"city": "KYLE",
"state": "TX",
"postal_code": "786406397",
"telephone_number": "512-722-6131",
"fax_number": "512-262-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ELMHURST STE A",
"city": "KYLE",
"state": "TX",
"postal_code": "786406397",
"telephone_number": "512-722-6131",
"fax_number": "512-262-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.