Active NPI
Jose R. Gonzales. D.D.S. P.C.
- General Practice Dentistry
- Goodyear, AZ
National Provider Identifier
1689876476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D4678
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Goodyear, AZ
- NPI 1881774628
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.