Joseph Martin Gondrez, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6824 Issued in NC

Practice address

1025 Johns Hopkins Dr
Greenville, NC 27834-7227

Phone

(252) 752-6188

Fax

(252) 752-5728

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  dba East Carolina University School of Dental Medicine, CSLC Sylva

  • Dentist
  • Sylva, NC
  • NPI 1982028759
  NPD
• Enc Management Services LLC

  • Pediatric Dentistry
  • Greenville, NC
  • NPI 1609640291
  NPD (past)
• Jasper L. Lewis, Jr., D.D.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenville, NC
  • NPI 1134264195

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851436703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347227",
            "telephone_number": "252-752-6188",
            "fax_number": "252-752-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347227",
            "telephone_number": "252-752-6188",
            "fax_number": "252-752-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDREZ",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "902AH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902AH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesly Gomez Buenaventura
• Liliana Michelle Gomez Mendez, M.D.
• Sandra R Gomez Paz, MD
• Scott Richard Gomez
• Merrilee Gomillion
• Mia Davielle Gonzales, MD
• Gerardo Gonzalez Rodriguez, MD
• Emma Kathryn Gonzalez, CAA
• Jorge Eduardo Gonzalez, PH.D.
• Leonard Steve Gonzalez, PA-C

• Pediatric Dentistry in Greenville, NC
• Providers in Greenville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.