Active NPI
Juan Carlos Gonzalez Garcia, DDS
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1942093000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8092
- Practice address
- 4960 O St
Lincoln, NE 68510-1957 - Phone
- (402) 475-0070
- NPI assigned
- May 22, 2025
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8092 | NE | Primary |
Addresses
Primary practice location
4960 O St
Lincoln, NE 68510-1957
Mailing address
6321 N 15TH St
Lincoln, NE 68521-8976
Phone (786) 362-9671
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koentjoro Dentistry Lincoln LLC | General Practice | Current | Accepting new patients |
Locations
4960 O St
Lincoln, NE 68510
Phone (402) 475-0070
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
- Lincoln, NE
- NPI 1912576471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1942093000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6321 N 15TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685218976",
"telephone_number": "786-362-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101957",
"telephone_number": "402-475-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ GARCIA",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-22",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "8092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.