Beverly P. Gonzales DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BEVERLY P. GONZALES DDS INC

Doing business as

Beverly Dentistry

Practice address

5031 La Palma Ave Ste B
La Palma, CA 90623-1623

Phone

(562) 865-0999

Fax

(562) 865-3999

NPI assigned

Sep 10, 2018

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maricela Estrada

Title

Biller

Phone

(562) 865-0999

Specialties & licenses 1

Addresses

Other names 1

• BEVERLY DENTISTRY Doing business as

Locations

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1558844233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 LA PALMA AVE STE B",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231623",
            "telephone_number": "562-865-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 LA PALMA AVE STE B",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231623",
            "telephone_number": "562-865-0999",
            "fax_number": "562-865-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY P. GONZALES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "562-865-0999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEVERLY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in La Palma, CA
• Providers in La Palma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.