Integral Dental Group, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19852 Issued in FL

Legal business name

INTEGRAL DENTAL GROUP, INC

Practice address

1125 NW 22ND Ave
Miami, FL 33125-2738

Phone

(305) 649-6112

Fax

(305) 649-1803

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hansel Gonzalez, D.M.D

Title

President

Phone

(305) 649-6112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1912325341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6112",
            "fax_number": "305-649-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6112",
            "fax_number": "305-649-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "HANSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-649-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insuring Sources, Inc.
• Intakebella LLC
• Integral Behavior Analysis Services, Inc.
• Integral Behavioral Group, Inc
• Integral Behaviors Services Inc
• Integral Development Services Inc
• Integral Development Services Inc
• Integral Development Services Inc
• Integral Health Ed. Consultants Inc. (I.H.E.C.I.)
• Integral Home Health Services, Inc.

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.