Active NPI
Justo J Gonzalez, M.D.
- Specialist
- Dallas, TX
National Provider Identifier
1730134081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E1856
- Practice address
- 12201 Merit Drive #420
Dallas, TX 75251-3108 - Phone
- (972) 702-9400
- Fax
- (970) 702-8894
- NPI assigned
- May 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E1856 | TX | Primary |
Addresses
Primary practice location
12201 Merit Drive #420
Dallas, TX 75251-3108
Mailing address
12201 Merit Drive #420
Dallas, TX 75251-3108
Phone (972) 702-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730134081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 MERIT DRIVE #420",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513108",
"telephone_number": "972-702-9400",
"fax_number": "970-702-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 MERIT DRIVE #420",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513108",
"telephone_number": "972-702-9400",
"fax_number": "970-702-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JUSTO",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E1856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.