Active NPI
Michelle Renee Gonzalez, D.M.D
- Dentist
- Gulf Breeze, FL
National Provider Identifier
1548522931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6799018-9921
- Practice address
- 1616 Winding Shore Dr
Gulf Breeze, FL 32563-7000 - Phone
- (850) 218-6526
- NPI assigned
- Jun 12, 2012
- 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 | DN0014582 | FL | |
| Dentist | 122300000X | 6799018-9921 | UT | Primary |
Addresses
Primary practice location
1616 Winding Shore Dr
Gulf Breeze, FL 32563-7000
Mailing address
1616 Winding Shore Dr
Gulf Breeze, FL 32563-7000
Phone (850) 218-6526
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 |
|---|---|---|---|
| DN0014582 | FL | MD | Dentist |
| 6799018-9921 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1548522931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 WINDING SHORE DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325637000",
"telephone_number": "850-218-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 WINDING SHORE DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325637000",
"telephone_number": "850-218-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0014582",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "6799018-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.