Individual provider Active NPI

Michael Franco Gonzalez, D.D.S.

  • Dentist
  • Elmwood Park, IL
National Provider Identifier
1902155534
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029175 Issued in IL
Practice address
7544 W North Ave Ste 4
Elmwood Park, IL 60707-2790
Phone
(708) 452-1879
Fax
(708) 452-1893
NPI assigned
Aug 29, 2012
Last updated
Apr 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029175 IL Primary

Addresses

Primary practice location

7544 W North Ave Ste 4
Elmwood Park, IL 60707-2790

Mailing address

7544 W North Ave Ste 4
Elmwood Park, IL 60707-2790
Phone (708) 452-1879

Other practice location 1

4244 Dempster St
Skokie, IL 60076-2008
Phone (847) 675-3662

Other practice location 2

3337 N Harlem Ave
Chicago, IL 60634-3602
Phone (773) 481-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019029175ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Meyer DDS PC Dentist CurrentSince Apr 19, 2020 Accepting new patients
Michael F Gonzalez DDS LTD CurrentSince Apr 19, 2020 Accepting new patients

Locations

7544 W North Ave
Ste 4
Elmwood Park, IL 60707
Phone (708) 452-1879

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1902155534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 W NORTH AVE STE 4",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072790",
            "telephone_number": "708-452-1879",
            "fax_number": "708-452-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 W NORTH AVE STE 4",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072790",
            "telephone_number": "708-452-1879",
            "fax_number": "708-452-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4244 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600762008",
            "country_code": "US",
            "telephone_number": "847-675-3662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3337 N Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606343602",
            "country_code": "US",
            "telephone_number": "773-481-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MICHAEL",
        "middle_name": "FRANCO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.