Gabriel Alexandro Gonzalez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

45864 Issued in CA

Practice address

305 Towerview Dr Ste 119
Durham, NC 27708-1514

Phone

(818) 636-4405

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gonzalez Dental Corporation

  • General Practice Dentistry
  • Montrose, CA
  • NPI 1003034497
  NPD (past) Authorized official
• Hao Yi Lin DDS, Inc.

  • General Practice Dentistry
  • Montrose, CA
  • NPI 1619528445
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1689075764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CELTIC CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164661",
            "telephone_number": "818-636-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 TOWERVIEW DR STE 119",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277081514",
            "telephone_number": "818-636-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GABRIEL",
        "middle_name": "ALEXANDRO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12393",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Goncalves, MD
• Jabez Gondokusumo, MD
• Jillian Gonyea, LAT, ATC
• Lazaro Gonzales Jr., PA-C
• Alicia Maria Gonzalez, MSN, RN, CS
• Gema Gonzalez, ARNP
• Katherine Gonzalez, MD
• Lauren Gonzalez, M.D.
• Natalia Gonzalez, MD
• Sara Isabel Gonzalez, MD

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.