Selsabeel Adham Gonzalez, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

26370 Issued in TX

Practice address

7902 Jones Maltsberger Rd
San Antonio, TX 78216-6920

Phone

(210) 804-1558

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

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.

• Christopher J. Holland, D.D.S., P.a.

  • Dentist
  • San Antonio, TX
  • NPI 1902352339
  NPD (past)
• New Image Dentisrty

  • Dentist
  • San Antonio, TX
  • NPI 1669888160
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1851603773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 JONES MALTSBERGER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166920",
            "telephone_number": "210-804-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 JONES MALTSBERGER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166920",
            "telephone_number": "210-804-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SELSABEEL",
        "middle_name": "ADHAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL10980",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Melissa Gonzalez, FNP
• Sarah Gonzalez
• Sarah Gonzalez
• Sarah Gonzalez
• Selena Guadalajara Gonzalez
• Sergio Gonzalez, QASP
• Shelby Danielle Gonzalez, CPNP-PC
• Silke N Gonzalez
• Stacy Speedlin Gonzalez, PH.D, LPC-S, LCDC
• Stephanie Gonzalez

• 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 Apr 20, 2018; 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.