Active NPI
Tito A Gonzalez Angeli, DMD
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1629465513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32439
- Practice address
- 1354 W 43Rd St Ste C
Houston, TX 77018-4206 - Phone
- (713) 263-7913
- NPI assigned
- Apr 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32439 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 32429 | TX |
Addresses
Primary practice location
1354 W 43Rd St Ste C
Houston, TX 77018-4206
Mailing address
3508 Vista Terrace LN
Houston, TX 77018-2508
Phone (787) 908-2230
Other practice location 1
6300 West Loop S
Suite 650
Bellaire, TX 77401-2900
Phone (713) 663-7960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32429 | TX | MD | Social Worker |
| 32439 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Forest Dental Group and Orthodontics, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Houston, TX
- NPI 1033461223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1629465513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 VISTA TERRACE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770182508",
"telephone_number": "787-908-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 W 43RD ST STE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770184206",
"telephone_number": "713-263-7913"
}
],
"practiceLocations": [
{
"address_1": "6300 West Loop S",
"address_2": "Suite 650",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774012900",
"country_code": "US",
"telephone_number": "713-663-7960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ ANGELI",
"first_name": "TITO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-19",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32439",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.