Nelly Gonzalez, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24675 Issued in TX

Practice address

9910 W Loop 1604 N Ste 122
San Antonio, TX 78254-5610

Phone

(210) 679-4747

Fax

(210) 679-4748

NPI assigned

Jun 30, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Folks PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1407502263
  NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730317660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 W LOOP 1604 N STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545610",
            "telephone_number": "210-679-4747",
            "fax_number": "210-679-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 W LOOP 1604 N STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545610",
            "telephone_number": "210-679-4747",
            "fax_number": "210-679-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NELLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Gonzalez, DNP, PMHNP-BC
• Naiza Gonzalez
• Nancy Gonzalez, CPNP-PC
• Narciso Gonzalez III, MD
• Natalie Gonzalez
• Nicole Gonzalez
• Ninive Alicia Gonzalez, LPC
• Noe Z Gonzalez
• Norma E Gonzalez
• Nyda Gonzalez

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.