Elizabeth Frances Gomez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010750 Issued in AZ

Practice address

3719 W Anthem Way Ste 101
Anthem, AZ 85086-0477

Phone

(623) 233-1033

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sonoran Valley Dental Center PLLC

  • Dental Clinic/Center
  • Anthem, AZ
  • NPI 1619430543
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1538787601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75728",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850871033",
            "telephone_number": "305-632-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 W ANTHEM WAY STE 101",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860477",
            "telephone_number": "623-233-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ELIZABETH",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anthem",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3719 W Anthem Way Ste 101",
            "city": "Anthem",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850860477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Gerber, DPM
• Brandon Gerle
• Charles T Gifford, PT
• Joe William Gladden II, M.S., LPCC, LMHC
• Glick Family Medicine LLC
• Robert Gomez, DDS
• Good Life Inc
• Stephen Grant
• James J Grodzielanek, DPT
• Michael Gurr

• Dentist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.