Active NPI
Gregory Joseph Gonzalez, MD
- Pediatrics Physician
- Aurora, CO
National Provider Identifier
1639240062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0031385
- Practice address
- 8480 S Biloxi CT
Aurora, CO 80016 - Phone
- (541) 941-9058
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD23838 | OR | |
| Pediatrics Physician | 208000000X | DR.0031385 | CO | Primary |
Addresses
Primary practice location
8480 S Biloxi CT
Aurora, CO 80016
Mailing address
8480 S Biloxi CT
Aurora, CO 80016
Phone (541) 941-9058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246509 | Other | OR | OMAP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0031385 | CO | MD | Pediatrics Physician |
| MD23838 | OR | MD | Pediatrics Physician |
Interoperability endpoints
- gregory.gonzalez.1@14034.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1639240062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8480 S BILOXI CT",
"city": "AURORA",
"state": "CO",
"postal_code": "80016",
"telephone_number": "541-941-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8480 S BILOXI CT",
"city": "AURORA",
"state": "CO",
"postal_code": "80016",
"telephone_number": "541-941-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GREGORY",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD23838",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0031385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "246509",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.