Organization Active NPI

Roy R. Gonzalez,DDS,MSD,PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1760605414
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5906 Issued in TX
Legal business name
ROY R. GONZALEZ,DDS,MSD,PA
Practice address
1100 NW Loop 410
Suite 560
San Antonio, TX 78213-2263
Phone
(210) 344-9295
Fax
(210) 979-0348
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roy R Gonzalez, DDS,MSDNPI 1124132162
Title
Orthodontist
Phone
(210) 344-9295

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 5906 TX Primary

Addresses

Primary practice location

1100 NW Loop 410
Suite 560
San Antonio, TX 78213-2263

Mailing address

1100 NW Loop 410
Suite 560
San Antonio, TX 78213-2263
Phone (210) 344-9295

National Provider Directory

National Provider Directory

Locations

1100 NW Loop 410
Ste 560
San Antonio, TX 78213
Phone (210) 344-9295

Practitioners & affiliated clinicians

Practitioners 2

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760605414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410",
            "address_2": "SUITE 560",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132263",
            "telephone_number": "210-344-9295",
            "fax_number": "210-979-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410",
            "address_2": "SUITE 560",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132263",
            "telephone_number": "210-344-9295",
            "fax_number": "210-979-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY R. GONZALEZ,DDS,MSD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "210-344-9295",
        "authorized_official_credential": "DDS,MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.