Organization Active NPI

Jose R. Gonzales. D.D.S. P.C.

  • General Practice Dentistry
  • Goodyear, AZ
National Provider Identifier
1689876476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4678 Issued in AZ
Legal business name
JOSE R. GONZALES. D.D.S. P.C.
Practice address
3060 N. Litchfield Road
Suite 110
Goodyear, AZ 85338
Phone
(623) 547-0403
Fax
(623) 935-0944
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose Rivas Gonzales, D.D.S.NPI 1881774628
Title
President
Phone
(623) 547-0403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D4678 AZ Primary

Addresses

Primary practice location

3060 N. Litchfield Road
Suite 110
Goodyear, AZ 85338

Mailing address

3060 N Litchfield Road
Suite 110
Goodyear, AZ 85338
Phone (623) 547-0403

Other names 1

  • G dental studio Doing business as

National Provider Directory

National Provider Directory

Locations

3060 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (623) 547-0403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689876476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 N LITCHFIELD ROAD",
            "address_2": "SUITE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-547-0403",
            "fax_number": "623-935-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 N. LITCHFIELD ROAD",
            "address_2": "SUITE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-547-0403",
            "fax_number": "623-935-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R. GONZALES. D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-547-0403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G dental studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.