NPIMap

Organization Active NPI

Ricardo Gonzalez DDS LTD

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1780608349
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-018457 Issued in IL
Legal business name
RICARDO GONZALEZ DDS LTD
Practice address
1780 N Farnsworth Ave
Aurora, IL 60505-1576
Phone
(630) 898-3610
Fax
(630) 898-6362
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Victor Ricardo Gonzalez-Jimenez, DDS
Title
President
Phone
(630) 898-3610

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019-018457 IL Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 019-018457 IL
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 021-001246 IL

Addresses

Primary practice location

1780 N Farnsworth Ave
Aurora, IL 60505-1576

Mailing address

1780 N Farnsworth Ave
Aurora, IL 60505-1576
Phone (630) 898-3610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1780608349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051576",
            "telephone_number": "630-898-3610",
            "fax_number": "630-898-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051576",
            "telephone_number": "630-898-3610",
            "fax_number": "630-898-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO GONZALEZ DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-JIMENEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-898-3610",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-018457",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019-018457",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021-001246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.