Rene Orlando Gonzalez-Paneca, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37833 Issued in TX

Practice address

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

Phone

(210) 202-1604

NPI assigned

Aug 31, 2021

Sex

Male

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

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.

• RG Prosthodontics

  dba ProsthDent

  • Dental Clinic/Center
  • Magnolia, TX
  • NPI 1750117115
  NPD Authorized official
• Potranco Family Dentistry PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1053286062
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1780352278",
    "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",
            "telephone_number": "281-817-6300",
            "fax_number": "281-817-6313"
        },
        {
            "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": "210-202-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-PANECA",
        "first_name": "RENE",
        "middle_name": "ORLANDO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glowsmile Dental PLLC
• Audrey Kristen Goeke
• Golden G Building, Inc.
• Angela Gomez
• Stephen Gomez
• Magaly Gonzalez, RBT
• Sherry Gould, LPC-ASSOI
• Graceful Warrior Counseling Co PLLC
• Alyssa Gray
• Great Western Transportation, LLC

• Dentist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.