Individual provider Active NPI

Gabriella Gonzalez, DDS

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1629861828
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14224469-9926 Issued in UT
Practice address
420 E South Temple Ste 410
Salt Lake City, UT 84111-1364
Phone
(801) 783-3321
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14224469-9926 UT Primary

Addresses

Primary practice location

420 E South Temple Ste 410
Salt Lake City, UT 84111-1364

Mailing address

343 S 1300 E Apt 1
Salt Lake City, UT 84102-2690

Other practice location 1

306 N Main St
Kaysville, UT 84037-6766
Phone (385) 304-4516

Other practice location 2

5275 Adams Ave Pkwy Ste A
Ogden, UT 84405-7238
Phone (801) 797-3107

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
14224469-9926UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1629861828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S 1300 E APT 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE STE 410",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111364",
            "telephone_number": "801-783-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840376766",
            "country_code": "US",
            "telephone_number": "385-304-4516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5275 Adams Ave Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844057238",
            "country_code": "US",
            "telephone_number": "801-797-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GABRIELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14224469-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.