NPIMap

Organization Active NPI

David a Gonzalez DDS Inc

  • General Practice Dentistry
  • Alton, TX
National Provider Identifier
1699067033
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14858 Issued in TX
Legal business name
DAVID A GONZALEZ DDS INC
Practice address
3013 E Main Ave
Suite B
Alton, TX 78573-0931
Phone
(956) 583-0135
Fax
(956) 583-0836
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. David Alfonso Gonzalez, DDS
Title
Dentist
Phone
(956) 583-0135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14858 TX Primary

Addresses

Primary practice location

3013 E Main Ave
Suite B
Alton, TX 78573-0931

Mailing address

3013 E Main Ave
Suite B
Alton, TX 78573-0931
Phone (956) 583-0135

Other identifiers 1

IdentifierTypeStateIssuer
124263004MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
David a Gonzalez DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1699067033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 E MAIN AVE",
            "address_2": "SUITE B",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785730931",
            "telephone_number": "956-583-0135",
            "fax_number": "956-583-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E MAIN AVE",
            "address_2": "SUITE B",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785730931",
            "telephone_number": "956-583-0135",
            "fax_number": "956-583-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A GONZALEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-583-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124263004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.