Adelle M Patino Gonzalez

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

306 Lakeland Cres
Yorktown, VA 23693-3734

Phone

(757) 690-6403

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1578370664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LAKELAND CRES",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LAKELAND CRES",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933734",
            "telephone_number": "757-690-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO GONZALEZ",
        "first_name": "ADELLE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Palmer, OD
• William I Pappadake, PSYD
• Nicholas Pappas, DDS
• Meredith Sloan Parks, DDS, MS
• Tierra Monique Parris
• Megan Judith Peddle, RBT
• Kristina Renee Pegram, M.S.CCC-SLP
• Peninsula Eye Care, LLC
• Peter Guhl PLC
• Deborah Lee Peters, SLP

• Dental Assistant in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Dental Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.