Carmin Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033041 Issued in IL

Practice address

2500 Kensington Ave
Amherst, NY 14226-4927

Phone

(716) 437-6453

NPI assigned

Apr 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Samuel Shatkin Jr MD PLLC

  • Ambulatory Surgical Clinic/Center
  • Amherst, NY
  • NPI 1841436995
  NPD
• Aesthetic Associates Centre Management LLC

  • Plastic Surgery Physician
  • Amherst, NY
  • NPI 1841143336
  NPD (past)
• Fuentesburgosservicecorporation

  • Dentist
  • Aurora, IL
  • NPI 1114097383
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1902425010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142264927",
            "telephone_number": "716-839-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 KENSINGTON AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264927",
            "telephone_number": "716-437-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Clark St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605054240",
            "country_code": "US",
            "telephone_number": "630-264-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARMIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Gleason, D.C.
• Jill Glowniak
• Jeffrey I Goldberg, DDS
• Grant Golden, MD
• Bridget Morgan Golinski, FNP
• Christine Goodwin, PMHNP
• David E Gordon, LCSW-R
• Leanne Marie Gorman, DDS
• Andrea Goubski, CCC-SLP
• Joanne Govan

• All providers in Amherst, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.