Active NPI
Shawneen M Gonzalez, DDS, MS
- Oral and Maxillofacial Radiology Dentistry
- Lincoln, NE
National Provider Identifier
1942457080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 6793
- Practice address
- 40TH & Holdrege St
Lincoln, NE 68583-0740 - Phone
- (402) 472-1370
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 6793 | NE | Primary |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 08450 | IA |
Addresses
Primary practice location
40TH & Holdrege St
Lincoln, NE 68583-0740
Mailing address
7000 N 16TH St # a
Lincoln, NE 68521-9076
Phone (402) 805-4134
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08450 | IA | MD | Oral and Maxillofacial Radiology Dentist |
| 6793 | NE | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1942457080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 N 16TH ST # A",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685219076",
"telephone_number": "402-805-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40TH & HOLDREGE ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SHAWNEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NE",
"license": "6793",
"primary": true
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "IA",
"license": "08450",
"primary": false
}
],
"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 Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.