Christina Cecilia Gonzalez, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30981 Issued in TX

Practice address

8056 Shin Oak Dr.
Ste 100
Live Oak, TX 78233

Phone

(210) 658-3131

Fax

(210) 658-9033

NPI assigned

Jun 12, 2015

Last updated

Jul 14, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Olympia Hills Family Dental, PC

  • General Practice Dentistry
  • Live Oak, TX
  • NPI 1619371689
  NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1871974063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8056 SHIN OAK DR.",
            "address_2": "STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-658-3131",
            "fax_number": "210-658-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8056 SHIN OAK DR.",
            "address_2": "STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-658-3131",
            "fax_number": "210-658-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHRISTINA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas C Glosup, PT, DPT
• Jacquelyn Gomez
• Sophia Gomez
• Emily Gonzales, FNP-C
• Alexsandra Lee Gonzalez
• Nicole Annette Gonzalez, DPT, PT
• Vanessa Gonzalez, AGACNP
• Jordan Taylor Gooch, PA-C
• Goodman Family Dental
• Cynthia Gordon, OTR/L

• General Practice Dentistry in Live Oak, TX
• Providers in Live Oak, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.