RICARDO L VIDAL GONZALEZ (NPI# 1295873479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295873479 |
| Entity Type | Individual |
| Full Name | RICARDO L VIDAL GONZALEZ |
| Practice Address |
1313 Lyndon Ln Ste 214 Louisville KY 40222 |
| Mailing Address |
3416 Hanover Ct Louisville KY 40207-4326 |
| Practice Telephone | 5022967536 |
| Mailing Telephone | 5022967536 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
12013412A | IN | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
29484 | TX | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
8281 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8501 Wade Blvd Ste 1140, Frisco, TX 750348160 | 5022967536 | |
| 601 E Spring St, New Albany, IN 47150 | 5022967536 | |
| 1511 W Mcdermott Dr Ste 200, Allen, TX 750133096 | 5022967536 |
| Street Address |
1313 LYNDON LN STE 214 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789029 | John Andrew Houston | Dentist | 5141 Dixie Hwy Ste 102, Louisville, KY 40216-1765 | 2017-06-07 |
| 1710191317 | Carl N. Bauman | Dentist | 10228 Shelbyville Rd, Louisville, KY 40223-2978 | 2007-05-10 |
| 1164563664 | Ziad Dib | Dentist | 501 S Preston, Room 236, Louisville, KY 40292-0001 | 2007-02-09 |
| 1114944816 | Periodontal Care & Implant Center | Dentist | 3409 Stony Spring Cir, Louisville, KY 40220-5433 | 2006-07-17 |
| 1558323873 | Patricia W Tucker | Dentist | 902 Dupont Rd, Louisville, KY 40207-4602 | 2006-04-03 |
| 1174166821 | Muhammad Saleh | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-10-25 |
| 1003390352 | Niyati Kapadia | Dentist | 401 E Chestnut St Unit 550, Louisville, KY 40202-5705 | 2018-09-22 |
| 1962850503 | Hima Bindu Pallagorla | Dentist | 501 S Preston St, Room 312, Louisville, KY 40202-1701 | 2016-05-24 |
| 1588099683 | Diksha Katwal | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2013-09-08 |
| 1912028291 | Elisa Pape Millett | Dentist | 4906 Bardstown Rd, Suite 104, Louisville, KY 40291-1759 | 2007-04-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on RICARDO L VIDAL GONZALEZ.
| 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.