Dr Pedro Gonzalez DDS a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR PEDRO GONZALEZ DDS A DENTAL CORPORATION

Practice address

15027 Mulberry Dr
Whittier, CA 90604-1528

Phone

(562) 351-1012

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Griselda Montes

Title

Dental Manager of Operations

Phone

(562) 716-4348

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1528657640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15027 MULBERRY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041528",
            "telephone_number": "562-351-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 MULBERRY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041528",
            "telephone_number": "562-351-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PEDRO GONZALEZ DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "DENTAL MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "562-716-4348",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "management@perfectdentalsmiles.us",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "15027 Mulberry Dr",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906041528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Doris Drahonovsky, RN,CLE
• James Robert Drulis, DC
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• Dental Clinic/Center in Whittier, CA
• Providers in Whittier, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.