Active NPI
Adrian Oscar Gonzalez, D.D.S.
- Dentist
- Homestead, FL
National Provider Identifier
1750635637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19996
- Practice address
- 25001 SW 127TH Ave
Suite 208
Homestead, FL 33032-5834 - Phone
- (305) 258-9838
- Fax
- (305) 258-9872
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN19996 | FL | Primary |
Addresses
Primary practice location
25001 SW 127TH Ave
Suite 208
Homestead, FL 33032-5834
Mailing address
4304 Alhambra Cir
Coral Gables, FL 33146-1012
Phone (305) 258-9838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160726001066 | FL | Order and Referring Only - Dentist | 4385937564 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19996 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvo Dental Arts | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Miami, FL
- NPI 1972246452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1750635637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 ALHAMBRA CIR",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461012",
"telephone_number": "305-258-9838",
"fax_number": "305-257-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25001 SW 127TH AVE",
"address_2": "SUITE 208",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330325834",
"telephone_number": "305-258-9838",
"fax_number": "305-258-9872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ADRIAN",
"middle_name": "OSCAR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.