Karen H. Gonzalez, D.D.S. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8270 Issued in MD

Legal business name

KAREN H. GONZALEZ, D.D.S. LLC

Practice address

4000 Mitchellville Rd
Suite 128B
Bowie, MD 20716-3104

Phone

(301) 464-4672

Fax

(301) 464-2864

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Devon B. Moulden

Title

Billing Specialist

Phone

(240) 348-1245

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629126214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 128B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-464-4672",
            "fax_number": "301-464-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 128B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-464-4672",
            "fax_number": "301-464-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN H. GONZALEZ, D.D.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULDEN",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "240-348-1245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bai Kanu, M.D.
• Isata Kanu
• Marie Binta Kanu
• Memunatu Hassanatu Kanu
• Richard Kappes, D.C.
• Adamsay Kollo Kargbo
• Moses Pabia Kargbo
• Salamatu Kargbo
• Rose Karikari
• Sabina W Kariuki

• General Practice Dentistry in Bowie, MD
• Providers in Bowie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.