Individual provider Active NPI

Tito A Gonzalez Angeli, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1629465513
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32439 Issued in TX
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

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
32429TXMDSocial Worker
32439TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Forest Dental Group and Orthodontics, PC PastSince Feb 1, 2022 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.

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.

Verify at the official NPI Registry.