Individual provider Active NPI

Gabriela Giovanna Ganoza-Duron, DDS

  • Pediatric Dentistry
  • Humble, TX
National Provider Identifier
1578828091
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29129 Issued in TX
Practice address
9802 FM 1960 Bypass Rd W
Humble, TX 77338-3501
Phone
(281) 446-0424
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 61062 CA
Pediatric Dentistry 1223P0221X 29129 TX Primary

Addresses

Primary practice location

9802 FM 1960 Bypass Rd W
Humble, TX 77338-3501

Mailing address

2222 Maroneal St Unit 1132
Houston, TX 77030-3265
Phone (585) 705-8647

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

LicenseStateTypeSpecialty
61062CAMDPediatric Dentist
29129TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1578828091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 MARONEAL ST UNIT 1132",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303265",
            "telephone_number": "585-705-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383501",
            "telephone_number": "281-446-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANOZA-DURON",
        "first_name": "GABRIELA",
        "middle_name": "GIOVANNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61062",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.