Ca Gonzalez Dental Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CA GONZALEZ DENTAL CORP

Doing business as

Placer Smiles Pediatric Dentistry

Practice address

620 Twelve Bridges Dr Ste 120
Lincoln, CA 95648-8867

Phone

(916) 996-0384

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cuauhtemoc Gonzalez, DDSNPI 1366839193

Title

President

Phone

(916) 996-0384

Specialties & licenses 1

Addresses

Other names 1

• Placer Smiles Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cuauhtemoc Gonzalez, DDS

  • Pediatric Dentistry
  • Rocklin, CA
  • NPI 1366839193
  NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1992427082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 REGAL CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655025",
            "telephone_number": "916-996-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TWELVE BRIDGES DR STE 120",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488867",
            "telephone_number": "916-996-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA GONZALEZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CUAUHTEMOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-996-0384",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Placer Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian P. Keller DPM, Inc
• Shelly Ann Brown
• Jeffrey O Brownwood, DO
• Jeff Bruins
• Brendan Bu
• Brandon David Cain
• California Midwives for Women
• Care Home by RNS Transport Services LLC
• Erick Fabricio Carias
• Katya Carlos Perez

• Pediatric Dentistry in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.