Organization Active NPI

Jr Gonzalez a Dental Corporation

  • General Practice Dentistry
  • Selma, CA
National Provider Identifier
1548893522
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JR GONZALEZ A DENTAL CORPORATION
Doing business as
HISPANO DENTAL CARE
Practice address
2775 Highland Ave
Selma, CA 93662-3462
Phone
(559) 896-1752
Fax
(559) 896-1759
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Jose Ricardo Gonzalez, DDS
Title
President
Phone
(559) 896-1754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2775 Highland Ave
Selma, CA 93662-3462

Mailing address

2775 Highland Ave
Selma, CA 93662-3462
Phone (559) 896-1752

Other names 1

  • HISPANO DENTAL CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fresno Direct

National Provider Directory

National Provider Directory

Locations

2775 Highland Ave
Selma, CA 93662
Phone (559) 896-1752

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1548893522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 HIGHLAND AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623462",
            "telephone_number": "559-896-1752",
            "fax_number": "559-896-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 HIGHLAND AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623462",
            "telephone_number": "559-896-1752",
            "fax_number": "559-896-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR GONZALEZ A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-896-1754",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fresno",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2775 Highland Ave",
            "city": "Selma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936623462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HISPANO DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.