Individual provider Active NPI

Maria Mercedes Gonzalez-Cook, DDS

  • Dentist
  • Laguna Beach, CA
National Provider Identifier
1912458670
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41410 Issued in CA
Practice address
31796 Coast Hwy
Laguna Beach, CA 92651-6974
Phone
(949) 415-1020
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 41410 CA Primary

Addresses

Primary practice location

31796 Coast Hwy
Laguna Beach, CA 92651-6974

Mailing address

5307 W Tonopah Dr
Glendale, AZ 85308-9119
Phone (949) 573-4091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170303000190 CA Order and Referring Only - DentistPractitioner - Dentist 2567746977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41410CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vtnguyen Endodontics PC Past Accepting new patients
Buehler Dental Corporation Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1912458670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 W TONOPAH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089119",
            "telephone_number": "949-573-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31796 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516974",
            "telephone_number": "949-415-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-COOK",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.