Active NPI
Michael Franco Gonzalez, D.D.S.
- Dentist
- Elmwood Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029175
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019029175 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy Meyer DDS PC | Dentist | Current | Accepting new patients |
| Michael F Gonzalez DDS LTD | Current | 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.
-
dba North Avenue Dental Care
- Dental Clinic/Center
- Elmwood Park, IL
- NPI 1396374690
-
- Dentist
- Elmwood Park, IL
- NPI 1306064613
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.