Max Gonzales

Primary specialty

DentistTaxonomy code 122300000X

License

41576 Issued in TX

Practice address

25235 W Interstate 10 Ste 201
San Antonio, TX 78257-2105

Phone

(210) 698-1010

NPI assigned

Apr 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Leon Springs Dental Center, PA

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1437582236
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1831894674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 TALAVERA RDG APT 4303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571490",
            "telephone_number": "210-286-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25235 W INTERSTATE 10 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572105",
            "telephone_number": "210-698-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Gonzales, LPC
• Marisa Beth Gonzales, DNP, APRN, PMHNP-BC
• Marisa Danielle Gonzales, MLS(ASCP)
• Marissa Gonzales, MA, BCBA, LBA
• Mary Laura Gonzales, MS, CCC-SLP
• Melanie Cheth Gonzales, LCSW
• Melissa Gamez Gonzales
• Mia Rose Gonzales, LPC-A
• Michael R Gonzales, MD
• Mikaela Angelique Gonzales

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.