DR. JUAN FERNANDO GONZALEZ (NPI# 1073575130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073575130 |
| Entity Type | Individual |
| Full Name | DR. JUAN FERNANDO GONZALEZ |
| Credential | DMD |
| Practice Address |
10801 N Mopac Expy Bldg. 2, Ste. 130 Austin TX 78759-5459 |
| Practice Telephone | 5123726230 |
| Practice Fax Number | 5123726233 |
| Mailing Telephone | 5123726230 |
| Mailing Fax Number | 5123726233 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22953 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 218656102 | 05 | |
| TX | LICENSE | 22953 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255768 | Juan Manuel Gonzalez Jr. | Dentist | 1919 Taylor St, Houston, TX 77007-3973 | 2019-06-22 |
| 1295190551 | Juan Marcelo Gonzalez Jr. | Home Health | 1413 David Ray Way, El Paso, TX 79936-7025 | 2015-12-30 |
| 1689062697 | Juan Carlos Gonzalez | Registered Nurse | 2385 Lawry Dr, Sparks, NV 89436-5004 | 2014-12-27 |
| 1851727911 | Juan Carlos Gonzalez | Student in an Organized Health Care Education/Training Program | 27602 Sw 134 Ct, Homestead, FL 33032 | 2013-09-20 |
| 1306100441 | Juan Carlos Gonzalez | Dentist | 2734 Nw 22nd Ave, Miami, FL 33142-8433 | 2012-07-03 |
| 1255650206 | Juan Ulloa Gonzalez | Counselor | 13455 Placid Dr, Whittier, CA 90605-4257 | 2010-05-28 |
| 1730388356 | Juan Francisco Gonzalez | Counselor | 705 Baltic Ave, Edinburg, TX 78539-7360 | 2007-07-13 |
| 1942426671 | Juan Carlos Gonzalez | Dentist | Hc 74 Box 5284, Naranjito, PR 00719-7465 | 2007-04-18 |
| 1740315100 | Juan Gonzalez | Pharmacy Technician | Ave. Roosvelt # 400 Suite, Farmacia Clinica Las Americas, San Juan, PR 00918 | 2007-02-23 |
| 1891891560 | Juan Carlos Gonzalez | Specialist | 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662 | 2006-09-16 |
| Street Address |
10801 N MOPAC EXPY BLDG. 2, STE. 130 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437431442 | Maxillofacial Surgery Services of Central Texas, Pllc | Dentist | 10801 N Mopac Expy, Bldg 2 Suite 130, Austin, TX 78759-5459 | 2011-09-15 |
| 1255521837 | Salute Oral and Facial Surgery, Pa | Dentist | 10801 N Mopac Expy, Bldg. 2 Ste. 130, Austin, TX 78759-5459 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1205360252 | Central Texas Implant Center Pllc | Dentist | 7320 N Mo Pac Expy, #200, Austin, TX 78731-2338 | 2017-04-17 |
| 1811343718 | T & S Omfs Pllc | Dentist | 1015 W 34th St, Austin, TX 78705-2008 | 2016-05-10 |
| 1932450020 | Garey Chayra | Dentist | 6352 Tasajillo Trl, Austin, TX 78739-1416 | 2012-09-28 |
| 1497938468 | Matthew C. Largent | Dentist | 4306 Medical Pkwy Ste 2, Austin, TX 78756-3312 | 2007-12-12 |
| 1104008861 | Travis W. Kern | Dentist | 7800 Mopac Expwy, Suite 270, Austin, TX 78759 | 2007-12-04 |
| 1730373580 | Claude-jean Langevin | Dentist | 911 W 38th St Ste 101, Austin, TX 78705-9918 | 2007-09-04 |
| 1407917800 | Henry Marcantoni | Dentist | 10801 N Mo Pac Expy, Bldg. 2 Ste.130, Austin, TX 78759-5459 | 2006-12-12 |
| 1346330396 | James John Flaggert IIi | Dentist | 11615 Angus Rd., Suite 118, Austin, TX 78759-4065 | 2006-10-13 |
| 1114018124 | Central Texas Oral Surgery Assc. | Dentist | 3200 Red River, #400, Austin, TX 78705 | 2006-09-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.