Organization Active NPI

Img Dental, PLLC

  • General Practice Dentistry
  • Cocoa, FL
National Provider Identifier
1881567634
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IMG DENTAL, PLLC
Practice address
780 West Ave
Cocoa, FL 32927-4991
Phone
(321) 631-5600
NPI assigned
Sep 27, 2025
Last updated
Sep 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Dr. Iveth Magaly Gonzalez, DDSNPI 1073205118
Title
Manager
Phone
(512) 762-0381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

780 West Ave
Cocoa, FL 32927-4991

Mailing address

780 West Ave
Cocoa, FL 32927-4991
Phone (321) 631-5600

National Provider Directory

National Provider Directory

Locations

780 West Ave
Cocoa, FL 32927
Phone (321) 631-5600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1881567634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 WEST AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274991",
            "telephone_number": "321-631-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WEST AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274991",
            "telephone_number": "321-631-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMG DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IVETH",
        "authorized_official_middle_name": "MAGALY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-762-0381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.