Active NPI
Salvador Alejandro Gonzalez Zamora
- General Practice Dentistry
National Provider Identifier
1902377286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6772054
- Practice address
- BLV. Tomas Fernandez #7930, Edificio a, Local C
CD. Juarez, CHIHUAHUA 32460
MX - Phone
- (656) 207-3931
- NPI assigned
- Dec 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6772054 | ZZ | Primary |
Addresses
Primary practice location
BLV. Tomas Fernandez #7930, Edificio a, Local C
CD. Juarez, CHIHUAHUA 32460
MX
Mailing address
11425 Flor Liastris
El Paso, TX 79927
Phone (915) 215-9491
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 |
|---|---|---|---|
| 6772054 | ZZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Soto | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Socorro, TX
- NPI 1013689801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1902377286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11425 FLOR LIASTRIS",
"city": "EL PASO",
"state": "TX",
"postal_code": "79927",
"telephone_number": "915-215-9491"
},
{
"country_code": "MX",
"country_name": "Mexico",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "BLV. TOMAS FERNANDEZ #7930, EDIFICIO A, LOCAL C",
"city": "CD. JUAREZ",
"state": "CHIHUAHUA",
"postal_code": "32460",
"telephone_number": "656-207-3931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ ZAMORA",
"first_name": "SALVADOR",
"middle_name": "ALEJANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ZZ",
"license": "6772054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.