Organization Active NPI

RG Prosthodontics

  • Dental Clinic/Center
  • Magnolia, TX
National Provider Identifier
1750117115
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RG PROSTHODONTICS
Practice address
30643 FM 2978 Rd BLDG B
Magnolia, TX 77354-2316
Phone
(786) 728-5014
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dr. Rene Gonzalez-PanecaNPI 1780352278
Title
Prosthodontist/Owner
Phone
(786) 728-5014

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30643 FM 2978 Rd BLDG B
Magnolia, TX 77354-2316

Mailing address

30643 FM 2978 Rd BLDG B
Magnolia, TX 77354-2316

Other names 1

  • ProsthDent Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1750117115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30643 FM 2978 RD BLDG B",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30643 FM 2978 RD BLDG B",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542316",
            "telephone_number": "786-728-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RG PROSTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-PANECA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PROSTHODONTIST/OWNER",
        "authorized_official_telephone_number": "786-728-5014",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProsthDent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.