Antonio Ray Gonzales, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2301008841 Issued in MI

Practice address

920 Lambert St
Niles, MI 49120-3413

Phone

(269) 684-4200

Fax

(269) 262-0943

NPI assigned

Feb 27, 2007

Last updated

Nov 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Alternative Wellness Center

  • Rehabilitation Chiropractor
  • Niles, MI
  • NPI 1689951055
  Medicare reassignment NPD Authorized official
• Thomas W Moses DC PC

  • Chiropractor
  • Dearborn, MI
  • NPI 1518077973
  NPD (past)
• Angola Physical Therapy, Inc.

  • Physical Therapist
  • Angola, IN
  • NPI 1588721005
  NPD (past)
• Elkhart County Chiropractic

  • Chiropractor
  • Goshen, IN
  • NPI 1508895426
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1679600829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LAMBERT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203413",
            "telephone_number": "269-684-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAMBERT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203413",
            "telephone_number": "269-684-4200",
            "fax_number": "269-262-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ANTONIO",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001868A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008841",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "2301008841",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301008841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghac3 Niles Mi Alf TRS Sub LLC (Brentwood of Niles Senior Living)
• Giva Tillman-Adkins (All Needs Senior Services)
• Lori F Glass, O.D.
• GLC Home Health Swmi LLC (Elara Caring)
• Glenda M Gensolin MD PLLC
• Emma Goodling
• Jill L Gorsuch, DO, MPH
• Darrin Gourlay, D.D.S.
• Greater Niles Cardiology PC
• Greater Niles Chiropractic Health Center Incorporated

• Rehabilitation Chiropractor in Niles, MI
• Providers in Niles, MI by specialty
• Rehabilitation Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.