Jessica Gonzales

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH4066 Issued in NM

Practice address

4800 Cutler Ave NE
Albuquerque, NM 87110-4033

Phone

(505) 881-1234

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Gonzales Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1790136745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 HACKAMORE PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871218931",
            "telephone_number": "505-620-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 CUTLER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104033",
            "telephone_number": "505-881-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GONZALES",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason Thomas Gonzales, PA-C
• Jeannette Gonzales
• Jennifer Gonzales, LCSW
• Jennifer Gonzales
• Jesse Markos Gonzales, LCSW
• Jim L Gonzales, SLP
• John Gonzales
• Kacey Gonzales
• Kassandra Gonzales
• Katherine Ann Gonzales, ACNPC-AG

• Dental Hygienist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.