DR. JOHN PHILLIP GONZALES (NPI# 1477679876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477679876 |
| Entity Type | Individual |
| Full Name | DR. JOHN PHILLIP GONZALES |
| Credential | D.D.S. |
| Practice Address |
311 N Mandan St Bismarck ND 58501-3859 |
| Practice Telephone | 7012553130 |
| Practice Fax Number | 7012559499 |
| Mailing Telephone | 7012553130 |
| Mailing Fax Number | 7012559499 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1859 | ND | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD | 23946 | 01 |
| ND | DENTAL SERVICE CORP. | 949039 | 01 |
| ND | 041327 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
| 1508153826 | John David Gonzales | Chiropractor | 9960 Business Park Dr 140, Sacramento, CA 95827-1719 | 2011-07-07 |
| 1447207402 | John Michael Gonzales | Pathology | 100-c Albright Way, San Jose, CA 95032-1837 | 2006-05-27 |
| 1639655723 | John Mejia Gonzales II | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2018-07-12 |
| 1730433467 | John Gonzales | Counselor | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2012-11-02 |
| 1821363102 | John Ray Gonzales | Anesthesiology | 1229 Madison St Ste 1440, Seattle, WA 98104-3538 | 2012-03-20 |
| 1184911125 | John Paul Gonzales | Case Manager/Care Coordinator | 906 N 1st St, Grants, NM 87020-2806 | 2011-06-28 |
| 1578861712 | John Gonzales Iv | Hearing Instrument Specialist | 1902 W 19th St, Suite A, Mountain Grove, MO 65711-1287 | 2011-03-12 |
| 1376785469 | John Daniel Gonzales Jr. | Nurse Anesthetist, Certified Registered | 2435 Forest Dr, Columbia, SC 29204-2026 | 2009-04-03 |
| 1881852366 | John Alexander Gonzales | Ophthalmology | 3332 Rochambeau Ave, Third Floor, Bronx, NY 10467-2836 | 2008-05-30 |
| Street Address |
311 N MANDAN ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520808 | Integrative Medical Solutions Pllc | Clinic/Center | 311 N Mandan St, Suite 1, Bismarck, ND 58501-3859 | 2013-02-26 |
| 1801122437 | Lezlie Link | Naturopath | 311 N Mandan St, Suite 1, Bismarck, ND 58501-3859 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700267440 | Jordan D. York | Dentist | 1929 N Washington St Ste Oo, Bismarck, ND 58501-1695 | 2015-06-17 |
| 1992117501 | Missouri River Dental, PC | Dentist | 1401 Skyline Blvd, Suite 210, Bismarck, ND 58503-1299 | 2014-05-30 |
| 1902245996 | Sarah Mertz | Dentist | 3001 Yorktown Drive Suite 4, Bismarck, ND 58503 | 2013-06-23 |
| 1881824449 | Michael Henry | Dentist | 27 Woodland Hills Dr, Bismarck, IL 61814-5055 | 2009-07-16 |
| 1912152190 | Riley D Parker | Dentist | 4501 Coleman St, Ste 107, Bismarck, ND 58503 | 2008-12-01 |
| 1174788269 | Maria Lynn Dwyer | Dentist | 301 E Front Ave, Bismarck, ND 58504-5600 | 2008-07-28 |
| 1639333701 | Ralph Gordon Honkola | Dentist | 1004 S 7th St, Bismarck, ND 58504-6531 | 2008-07-17 |
| 1669674362 | Brock Allen Oukrop | Dentist | 4204 Boulder Ridge Rd Suite 140, Bismarck, ND 58503 | 2007-06-04 |
| 1003027517 | Steven J Midstokke | Dentist | 1223 S 12th St Ste 1, Bismarck, ND 58504-6626 | 2007-05-25 |
| 1063628592 | Daniel Dean Axvig | Dentist | 301 E Front Ave Ste 105, Bismarck, ND 58504-5601 | 2007-05-14 |
| Find all providers in BISMARCK | ||||
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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.