Individual provider Active NPI

Stella Gonzalez, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1942473301
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50466 Issued in CA
Practice address
1545 NW 15TH Street Rd Apt 1504
Miami, FL 33125-1684
Phone
(714) 206-8854
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50466 CA Primary

Addresses

Primary practice location

1545 NW 15TH Street Rd Apt 1504
Miami, FL 33125-1684

Mailing address

1545 NW 15TH Street Rd Apt 1504
Miami, FL 33125-1684
Phone (714) 206-8854

Other practice location 1

10216 Vultee Ave
228
Downey, CA 90241-2770
Phone (562) 622-2706

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

State licenses

LicenseStateTypeSpecialty
50466CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942473301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NW 15TH STREET RD APT 1504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251684",
            "telephone_number": "714-206-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NW 15TH STREET RD APT 1504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251684",
            "telephone_number": "714-206-8854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10216 Vultee Ave",
            "address_2": "228",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902412770",
            "country_code": "US",
            "telephone_number": "562-622-2706",
            "fax_number": "562-622-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.