Juan Manuel Gonzalez Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35342 Issued in TX

Practice address

4920 Atascocita Rd # 900
Humble, TX 77346-2849

Phone

(281) 973-6220

NPI assigned

Jun 22, 2019

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• One Dental Studio PLLC

  dba Studio One Dental

  • Dentist
  • Humble, TX
  • NPI 1619738077
  NPD

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1881255768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ATASCOCITA RD # 900",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462849",
            "telephone_number": "281-973-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ATASCOCITA RD # 900",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462849",
            "telephone_number": "281-973-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35342",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gonzalezendpoint@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Dental",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1919 Taylor St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770073973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Liseth Gomez
• Clive Gomilla, NP-C
• Ayrielle Gonzalez
• Celsio Gonzalez, MD
• Jazmin De Abril Gonzalez
• Nino Alissandro Gonzalez, RDN
• Rachel Gonzalez, MT-BC
• Yailin Gonzalez
• Amanda Baylee Goodrich
• Armani Goodwin

• Dentist in Humble, TX
• Providers in Humble, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.