Joel J Gonzales, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14634 Issued in MA

Practice address

17 Rogers St
Suite 3-1
Gloucester, MA 01930-5014

Phone

(978) 283-6252

Fax

(978) 283-1722

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1952401465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ROGERS ST",
            "address_2": "SUITE 3-1",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305014",
            "telephone_number": "978-283-6252",
            "fax_number": "978-283-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROGERS ST",
            "address_2": "SUITE 3-1",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305014",
            "telephone_number": "978-283-6252",
            "fax_number": "978-283-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "14634",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Judith Glassman, LMHC
• Thomas Glaster
• Gloucester Dental Health Center
• Charlene Dubois Glynn, O.D.
• Rebecca Glynn
• Whitney Susan Good
• Madison A Goodrow, LMHC
• Emily Anne Gorgone
• Suzanne R Gosselin, DC
• Roy Gottlieb, D.C.

• General Practice Dentistry in Gloucester, MA
• Providers in Gloucester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.